Active NPI
Sookyung Jun DMD PLLC
- Dental Clinic/Center
- Bellevue, WA
National Provider Identifier
1649623331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 60421965
- Legal business name
- SOOKYUNG JUN DMD PLLC
- Practice address
- 1500 145TH PL SE
Bellevue, WA 98007-5516 - Phone
- (425) 321-0833
- NPI assigned
- Jul 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sookyung Jun, DMD
- Title
- Owner Dentist
- Phone
- (425) 321-0833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 60421965 | WA | Primary |
Addresses
Primary practice location
1500 145TH PL SE
Bellevue, WA 98007-5516
Mailing address
1500 145TH PL SE
Bellevue, WA 98007-5516
Phone (425) 321-0833
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468800000000",
"number": "1649623331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 145TH PL SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075516",
"telephone_number": "425-321-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 145TH PL SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075516",
"telephone_number": "425-321-0833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOOKYUNG JUN DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A",
"authorized_official_last_name": "JUN",
"authorized_official_first_name": "SOOKYUNG",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "425-321-0833",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "60421965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.