Organization Active NPI

HKC DDS Inc

Doing business as Affordable Family Dentistry

  • Dental Clinic/Center
  • Bothell, WA
National Provider Identifier
1548626351
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HKC DDS INC
Doing business as
Affordable Family Dentistry
Practice address
20615 Bothell Everett Hwy
Suite a
Bothell, WA 98012-8556
Phone
(425) 686-7797
NPI assigned
Jan 8, 2016
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Henry Chiang, DDSNPI 1831106293
Title
Dentist
Phone
(425) 686-7797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60305935 WA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60505765 WA
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20615 Bothell Everett Hwy
Suite a
Bothell, WA 98012-8556

Mailing address

20615 Bothell Everett Hwy
Suite a
Bothell, WA 98012-8556
Phone (425) 686-7797

Other identifiers 2

IdentifierTypeStateIssuer
1831106293MedicaidWA
1174923817MedicaidWA

Other names 1

  • AFFORDABLE FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

20615 Bothell Everett Hwy
Ste A
Bothell, WA 98012
Phone (425) 485-2942

Practitioners & affiliated clinicians

Practitioners 1

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": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1548626351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 BOTHELL EVERETT HWY",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128556",
            "telephone_number": "425-686-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20615 BOTHELL EVERETT HWY",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128556",
            "telephone_number": "425-686-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HKC DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-686-7797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60305935",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60505765",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831106293",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174923817",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFORDABLE FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.