Individual provider Active NPI

Amy Ho, D.D.S.

  • Dentist
  • Burien, WA
National Provider Identifier
1407285695
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60414981 Issued in WA
Practice address
116 SW 148TH St
Suite D100
Burien, WA 98166-1983
Phone
(206) 246-7999
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60414981 WA Primary
Dentist 122300000X 12011876A IN

Addresses

Primary practice location

116 SW 148TH St
Suite D100
Burien, WA 98166-1983

Mailing address

116 SW 148TH St
Suite D100
Burien, WA 98166-1983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001291 WA Order and Referring Only - DentistPractitioner - Dentist 5698073740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12011876AINMDDentist
DE60414981WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Son and Lien Nguyen, PS Past Accepting new patients
H Todd Su DDS PLLC Dentist PastSince Oct 14, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1407285695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SW 148TH ST",
            "address_2": "SUITE D100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SW 148TH ST",
            "address_2": "SUITE D100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661983",
            "telephone_number": "206-246-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "AMY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60414981",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011876A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.