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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00007299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.