Individual provider Active NPI

Sihwan Sung, DDS

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1497639769
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DENT.DE.70002521 Issued in WA
Practice address
33505 Pacific Hwy S
Federal Way, WA 98003-6809
Phone
(253) 815-8500
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DENT.DE.70002521 WA Primary

Addresses

Primary practice location

33505 Pacific Hwy S
Federal Way, WA 98003-6809

Mailing address

1909 104TH Ave E Unit U404
Edgewood, WA 98372-1740
Phone (840) 213-9794

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

LicenseStateTypeSpecialty
DENT.DE.70002521WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Y M Lee DDS PLLC CurrentSince Aug 3, 2025 Accepting new patients
Pacific Dental & Denture Clinic,Inc PastSince Aug 3, 2025 Accepting new patients

Locations

33505 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 815-8500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1497639769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 104TH AVE E UNIT U404",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721740",
            "telephone_number": "840-213-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33505 PACIFIC HWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036809",
            "telephone_number": "253-815-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "SIHWAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DENT.DE.70002521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.