KR Sammy BD Pak DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008583 Issued in WA

Legal business name

KR SAMMY BD PAK DDS PLLC

Practice address

13400 Pacific Ave S Ste 201
Tacoma, WA 98444-4877

Phone

(253) 535-5616

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Sammy BD Pak, DDS

Title

Owner

Phone

(253) 535-5616

Specialties & licenses 1

Addresses

Other names 1

• Parkland Dental Group Doing business as

Locations

Practitioners 2

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

• Allan L Tronset, D.D.S.

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1992863112
  NPD (past)
• Ylang V Nguyen, DDS

  • General Practice Dentistry
  • Montrose, CA
  • NPI 1841468246
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1588076129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 PACIFIC AVE S STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444877",
            "telephone_number": "253-535-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 PACIFIC AVE S STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444877",
            "telephone_number": "253-535-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KR SAMMY BD PAK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "BD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-535-5616",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelly Ann Koyen
• Courtney Nicole Kozakiewicz, BSN, RN
• Mark Henry Kozakowski, D.O
• Lidiya Kozlova, LMP
• Michael Koznarsky, M.D.
• Stacie Linne Krabill, ARNP
• Kelly A Kraemer, BA , SUDPT
• David William Kraljevich, LMHC
• Jessy Krallum, FNP-C
• Gregory Kramer, PHD

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.