Active NPI
Seoung Hyon Park, DENTURIST
- Denturist
- Lakewood, WA
National Provider Identifier
1447469747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN00000133
- Practice address
- 8717 South Tacoma Way
Lakewood, WA 98499 - Phone
- (253) 588-9951
- Fax
- (253) 588-9951
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DN00000133 | WA | Primary |
Addresses
Primary practice location
8717 South Tacoma Way
Lakewood, WA 98499
Mailing address
8717 South Tacoma Way
Lakewood, WA 98499
Phone (253) 588-9951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN00000133 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447469747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 SOUTH TACOMA WAY",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98499",
"telephone_number": "253-588-9951",
"fax_number": "253-588-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8717 SOUTH TACOMA WAY",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98499",
"telephone_number": "253-588-9951",
"fax_number": "253-588-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SEOUNG",
"middle_name": "HYON",
"credential": "DENTURIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN00000133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.