Organization Active NPI

Washington Dental Corporation, PC

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1477145803
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WASHINGTON DENTAL CORPORATION, PC
Practice address
15100 SE 38TH St Ste 302
Bellevue, WA 98006-1763
Phone
(425) 300-1019
Fax
(425) 296-3976
NPI assigned
Feb 8, 2021
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WASHINGTON DENTAL CORPORATION PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Kuan Chia Huang
Title
Owner
Phone
(425) 300-1019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

15100 SE 38TH St Ste 302
Bellevue, WA 98006-1763

Mailing address

PO Box 920050
Dallas, TX 75392-5626
Phone (714) 845-8890

National Provider Directory

National Provider Directory
Tax ID family
Washington Dental Corporation48 organizations share this tax ID, including this one
Part of
Washington Dental Corporation

Other organizations with this tax ID 47

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

View all 47

Locations

15100 SE 38th St
Ste 302
Bellevue, WA 98006
Phone (425) 300-1019

Practitioners & affiliated clinicians

Practitioners 2

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1477145803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753925626",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 SE 38TH ST STE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061763",
            "telephone_number": "425-300-1019",
            "fax_number": "425-296-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON DENTAL CORPORATION, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON DENTAL CORPORATION PC",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "KUAN",
        "authorized_official_middle_name": "CHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-300-1019"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.