Organization Active NPI

Hojoong Ryu DDS PLLC

  • Customized Equipment (DME)
  • Everett, WA
National Provider Identifier
1629577879
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HOJOONG RYU DDS PLLC
Practice address
909 SE Everett Mall Way Ste B250
Everett, WA 98208-3752
Phone
(425) 355-0600
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Ho Joong RyuNPI 1710327614
Title
Owner
Phone
(425) 355-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

909 SE Everett Mall Way Ste B250
Everett, WA 98208-3752

Mailing address

909 SE Everett Mall Way Ste B250
Everett, WA 98208-3752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1629577879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY STE B250",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SE EVERETT MALL WAY STE B250",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083752",
            "telephone_number": "425-355-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOJOONG RYU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "HO JOONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-355-0600"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2018; 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.