Organization Active NPI

Richard Hwynn DDS PLLC

  • General Practice Dentistry
  • Everett, WA
National Provider Identifier
1629098025
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007870 Issued in WA
Legal business name
RICHARD HWYNN DDS PLLC
Doing business as
buffalo square dental
Practice address
13112 39TH Ave SE
Suite B
Everett, WA 98208-5602
Phone
(425) 385-3839
Fax
(425) 337-9275
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Richard Huylinh Hwynn, DDS
Title
Member
Phone
(425) 385-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00007870 WA Primary

Addresses

Primary practice location

13112 39TH Ave SE
Suite B
Everett, WA 98208-5602

Mailing address

3314 145TH PL SE
Mill Creek, WA 98012-5023
Phone (425) 385-3839

Other names 1

  • buffalo square dental Doing business as

National Provider Directory

National Provider Directory

Locations

13112 39th Ave SE
Ste B
Everett, WA 98208
Phone (425) 385-3839

Practitioners & affiliated clinicians

Practitioners 1

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1629098025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 145TH PL SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125023",
            "telephone_number": "425-385-3839",
            "fax_number": "425-337-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 39TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085602",
            "telephone_number": "425-385-3839",
            "fax_number": "425-337-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HWYNN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "HWYNN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HUYLINH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-385-3839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "buffalo square dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.