Organization Active NPI

Chung L. Hwang, DDS, PLLC

Doing business as Children's Dental Care of Bonney Lake

  • Pediatric Dentistry
  • Bonney Lake, WA
National Provider Identifier
1427249580
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00007299 Issued in WA
Legal business name
CHUNG L. HWANG, DDS, PLLC
Doing business as
Children's Dental Care of Bonney Lake
Practice address
8412 Myers Rd
Suite 101
Bonney Lake, WA 98391
Phone
(253) 826-5000
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Chung Long Hwang, D.D.S., P.S.
Title
Owner
Phone
(253) 850-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE00007299 WA Primary

Addresses

Primary practice location

8412 Myers Rd
Suite 101
Bonney Lake, WA 98391

Mailing address

24837 104TH Ave SE
Suite 201
Kent, WA 98030
Phone (253) 850-1234

Other names 1

  • Children's Dental Care of Bonney Lake Doing business as

National Provider Directory

National Provider Directory

Locations

8412 Myers Rd E
Ste 101
Bonney Lake, WA 98391
Phone (253) 288-8882

24837 104th Ave SE
Ste 201
Kent, WA 98030

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1427249580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24837 104TH AVE SE",
            "address_2": "SUITE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98030",
            "telephone_number": "253-850-1234",
            "fax_number": "253-850-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 MYERS RD",
            "address_2": "SUITE 101",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "98391",
            "telephone_number": "253-826-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG L. HWANG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-850-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00007299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Care of Bonney Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.