NPIMap

Organization Active NPI

Cuong Luu

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1376858001
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60035350 Issued in WA
Legal business name
CUONG LUU
Practice address
431 E Ward St
Kent, WA 98030-4537
Phone
(206) 508-4420
NPI assigned
Aug 18, 2010
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cuong Luu
Title
Dentist
Phone
(615) 335-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE 60035350 WA Primary

Addresses

Primary practice location

431 E Ward St
Kent, WA 98030-4537

Mailing address

431 E Ward St
Kent, WA 98030-4537
Phone (206) 508-4420

Other identifiers 1

IdentifierTypeStateIssuer
1548413586MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
NB North Beach Clinic14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1376858001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-508-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-508-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUONG LUU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "CUONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-335-2727"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60035350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548413586",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.