NPIMap

Organization Active NPI

Dong Wu Han PLLC

  • General Practice Dentistry
  • Lynnwood, WA
National Provider Identifier
1619706504
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DONG WU HAN PLLC
Practice address
16108 Ash Way Ste 202
Lynnwood, WA 98087-8781
Phone
(425) 741-2030
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Chelsea Nuevo
Title
Operations Director
Phone
(907) 301-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16108 Ash Way Ste 202
Lynnwood, WA 98087-8781

Mailing address

16108 Ash Way Ste 202
Lynnwood, WA 98087-8781
Phone (425) 741-2030

Other names 1

  • Smiles Dental Lynnwood Doing business as

National Provider Directory

National Provider Directory

Locations

16108 Ash Way
Ste 202
Lynnwood, WA 98087
Phone (425) 741-2030

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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1619706504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16108 ASH WAY STE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878781",
            "telephone_number": "425-741-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16108 ASH WAY STE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878781",
            "telephone_number": "425-741-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG WU HAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "NUEVO",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "907-301-6112"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Dental Lynnwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.