Organization Active NPI

Joseph Engh DDS PS

  • Dentist
  • Kirkland, WA
National Provider Identifier
1467436865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008935 Issued in WA
Legal business name
JOSEPH ENGH DDS PS
Practice address
13131 120TH Ave NE
Ste C
Kirkland, WA 98034-3037
Phone
(425) 821-9833
Fax
(425) 821-9443
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Gar-Kong Engh, DDS
Title
Pres Sec
Phone
(425) 821-9833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00008935 WA Primary

Addresses

Primary practice location

13131 120TH Ave NE
Ste C
Kirkland, WA 98034-3037

Mailing address

13131 120TH Ave NE
Ste C
Kirkland, WA 98034-3037
Phone (425) 821-9833

Other identifiers 1

IdentifierTypeStateIssuer
5036421MedicaidWA

Other names 1

  • Bellevue Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

13131 120th Ave NE
Ste C
Kirkland, WA 98034
Phone (425) 821-9833

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467436865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13131 120TH AVE NE",
            "address_2": "STE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343037",
            "telephone_number": "425-821-9833",
            "fax_number": "425-821-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 120TH AVE NE",
            "address_2": "STE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343037",
            "telephone_number": "425-821-9833",
            "fax_number": "425-821-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ENGH DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GAR-KONG",
        "authorized_official_title_or_position": "PRES SEC",
        "authorized_official_telephone_number": "425-821-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.