NPIMap

Organization Active NPI

Song Periodontics and Implants

Doing business as Pacific northwest oral medicine

  • Oral Medicine Dentistry
  • Tukwila, WA
National Provider Identifier
1437020591
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
Legal business name
SONG PERIODONTICS AND IMPLANTS
Doing business as
Pacific northwest oral medicine
Practice address
411 Strander Blvd Ste 302
Tukwila, WA 98188-2924
Phone
(206) 250-0299
NPI assigned
Sep 13, 2025
Last updated
Sep 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Authorized official

Name
Hyun Song, DDSNPI 1295760585
Title
Owner
Phone
(206) 250-0299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral Medicine DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 125Q00000X Primary

Addresses

Primary practice location

411 Strander Blvd Ste 302
Tukwila, WA 98188-2924

Mailing address

411 Strander Blvd Ste 302
Tukwila, WA 98188-2924
Phone (206) 250-0299

Other names 1

  • Pacific northwest oral medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pnwperiodontics.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Pacific Northwest Oral Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1437020591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 302",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-250-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 302",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-250-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG PERIODONTICS AND IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-250-0299",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "125Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pnwperiodontics.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "411 Strander Blvd Ste 302",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981882924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific northwest oral medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; 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.