Individual provider Active NPI

Chinh D DO, DDS

  • Dentist
  • Federal Way, WA
National Provider Identifier
1548831126
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61168612 Issued in WA
Practice address
33801 1St Way S Ste 361
Federal Way, WA 98003-6224
Phone
(253) 838-4200
NPI assigned
Jul 6, 2021
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61168612 WA Primary
General Practice Dentistry 1223G0001X DE61168612 WA

Addresses

Primary practice location

33801 1St Way S Ste 361
Federal Way, WA 98003-6224

Mailing address

33801 1St Way S Ste 361
Federal Way, WA 98003-6224
Phone (206) 412-3220

Other practice location 1

2781 S 242nd St
Des Moines, WA 98198-5166
Phone (206) 957-9040

Other identifiers 1

IdentifierTypeStateIssuer
2228347MedicaidWA

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
DE61168612WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chinh D. DO, DDS, PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

33801 1st Way S
Ste 361
Federal Way, WA 98003
Phone (253) 838-4200

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1548831126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S STE 361",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036224",
            "telephone_number": "206-412-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33801 1ST WAY S STE 361",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036224",
            "telephone_number": "253-838-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2781 S 242nd St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981985166",
            "country_code": "US",
            "telephone_number": "206-957-9040",
            "fax_number": "206-212-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "CHINH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61168612",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61168612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228347",
            "state": "WA"
        }
    ],
    "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 Mar 30, 2026; 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.