Organization Active NPI

Hwang-Bothell PLLC

Doing business as Gentle Touch Dental Group

  • Dental Clinic/Center
  • Bothell, WA
National Provider Identifier
1609392083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00009254 Issued in WA
Legal business name
HWANG-BOTHELL PLLC
Doing business as
Gentle Touch Dental Group
Practice address
17917 Bothell Everett Hwy Ste 305
Bothell, WA 98012-6379
Phone
(425) 481-1038
Fax
(425) 483-3158
NPI assigned
Aug 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David Y Hwang
Title
Manager
Phone
(425) 641-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00009254 WA Primary

Addresses

Primary practice location

17917 Bothell Everett Hwy Ste 305
Bothell, WA 98012-6379

Mailing address

17917 Bothell Everett Hwy Ste 305
Bothell, WA 98012-6379
Phone (425) 481-1038

Other names 1

  • Gentle Touch Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

17917 Bothell Everett Hwy
Ste 305
Bothell, WA 98012
Phone (425) 481-1038

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609392083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY STE 305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126379",
            "telephone_number": "425-481-1038",
            "fax_number": "425-483-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17917 BOTHELL EVERETT HWY STE 305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126379",
            "telephone_number": "425-481-1038",
            "fax_number": "425-483-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWANG-BOTHELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-641-5140"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00009254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Touch Dental Group",
            "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 Jul 21, 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.