NPIMap

Organization Active NPI

Kang DDS & Suzuki DMD Ms FW PLLC

  • Periodontics
  • Federal Way, WA
National Provider Identifier
1588301428
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
KANG DDS & SUZUKI DMD MS FW PLLC
Doing business as
Puget Sound Periodontics
Practice address
2505 S 320TH St Ste 330
Federal Way, WA 98003-5461
Phone
(206) 400-0800
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Thomas C Kang, DDS
Title
Owner
Phone
(425) 577-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2505 S 320TH St Ste 330
Federal Way, WA 98003-5461

Mailing address

2505 S 320TH St Ste 330
Federal Way, WA 98003-5461
Phone (206) 400-0800

Other practice location 1

2743 California Ave SW Unit 200
Seattle, WA 98116-2495
Phone (206) 519-5337

Other practice location 2

2731 Eastlake Ave E
Seattle, WA 98102-3104
Phone (206) 329-0410

Other names 1

  • Puget Sound Periodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address claire@pugetsoundperio.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1588301428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST STE 330",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035461",
            "telephone_number": "206-400-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST STE 330",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035461",
            "telephone_number": "206-400-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2743 California Ave SW Unit 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981162495",
            "country_code": "US",
            "telephone_number": "206-519-5337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2731 Eastlake Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023104",
            "country_code": "US",
            "telephone_number": "206-329-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANG DDS & SUZUKI DMD MS FW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-577-9570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claire@pugetsoundperio.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2505 S 320th St Ste 330",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980035461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Puget Sound Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2022; 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.