Organization Active NPI

James Nguyen DMD PS

  • General Practice Dentistry
  • Edmonds, WA
National Provider Identifier
1487006318
Registry record updated Jul 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE8542 Issued in WA
Legal business name
JAMES NGUYEN DMD PS
Practice address
7935 216TH St SW Ste C
Edmonds, WA 98026-7941
Phone
(425) 774-9298
Fax
(425) 778-5284
NPI assigned
Jul 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2016

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

Authorized official

Name
Dr. James Son Thanh Nguyen, DMD
Title
President
Phone
(425) 774-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE8542 WA Primary

Addresses

Primary practice location

7935 216TH St SW Ste C
Edmonds, WA 98026-7941

Mailing address

7935 216TH St SW Ste C
Edmonds, WA 98026-7941
Phone (425) 774-9298

Other identifiers 1

IdentifierTypeStateIssuer
1134292238OtherWACENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)

National Provider Directory

National Provider Directory

Locations

7935 216th St SW
Ste C
Edmonds, WA 98026
Phone (425) 774-9298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467504000000",
    "number": "1487006318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-774-9298",
            "fax_number": "425-778-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-774-9298",
            "fax_number": "425-778-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES NGUYEN DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-03",
        "last_updated": "2016-07-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SON THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-774-9298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)",
            "identifier": "1134292238",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2016; 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.