NPIMap

Organization Active NPI

Sookyung Jun DMD PLLC

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1649623331
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60421965 Issued in WA
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
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Sookyung Jun, DMDNPI 1922260793
Title
Owner Dentist
Phone
(425) 321-0833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.