NPIMap

Organization Active NPI

Chue-Gomez DDS, PLLC

  • General Practice Dentistry
  • Lakewood, WA
National Provider Identifier
1487100830
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00011061 Issued in WA
Legal business name
CHUE-GOMEZ DDS, PLLC
Practice address
6006 100TH St SW
Lakewood, WA 98499-2734
Phone
(253) 581-2888
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Julidang Chue-Gomez, DDS
Title
Owner/Dentist
Phone
(253) 581-2888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE00011061 WA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE60065174 WA
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X DE00010432 WA

Addresses

Primary practice location

6006 100TH St SW
Lakewood, WA 98499-2734

Mailing address

6006 100TH St SW
Lakewood, WA 98499-2734
Phone (253) 581-2888

Other names 1

  • Sunrise Dental of Lakewood Doing business as

National Provider Directory

National Provider Directory

Locations

6006 100th St SW
Lakewood, WA 98499
Phone (253) 581-2888

Practitioners & affiliated clinicians

Practitioners 2

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": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1487100830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992734",
            "telephone_number": "253-581-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992734",
            "telephone_number": "253-581-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUE-GOMEZ DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "CHUE-GOMEZ",
        "authorized_official_first_name": "JULIDANG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "253-581-2888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011061",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60065174",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00010432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 26, 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.