Steven Chin Kwan, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE 60238166 Issued in WA

Practice address

6715 Fort Dent Way
Tukwila, WA 98188-2540

Phone

(206) 248-3330

Fax

(206) 431-1158

NPI assigned

Aug 9, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edmund H. Kwan DDS MSD PS

  • Endodontics
  • Tukwila, WA
  • NPI 1710924873
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1609155530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 FORT DENT WAY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882540",
            "telephone_number": "206-248-3330",
            "fax_number": "206-431-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 FORT DENT WAY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882540",
            "telephone_number": "206-248-3330",
            "fax_number": "206-431-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "STEVEN",
        "middle_name": "CHIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE 60238166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Kuria
• Mamiko Kuriya, DDS
• Sherra Breanne Kurtz, LMP
• Jeremy Kutzke
• Edmund H Kwan, D.D.S., M.S.D., P.S.
• Amelia Kwok
• Emilie Kyes
• Laboratory Corporation of America
• Heather Ladam
• Andrea Nalani Lafazia-Geraghty, MSW, MPH

• Endodontics in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.