NPIMap

Organization Active NPI

H Dental Group LLC

Doing business as Overlake Family Dental Center

  • Dentist
  • Redmond, WA
National Provider Identifier
1669750063
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010544 Issued in WA
Legal business name
H DENTAL GROUP LLC
Doing business as
Overlake Family Dental Center
Practice address
15230 NE 24TH St
Ste N
Redmond, WA 98052-5540
Phone
(425) 641-5140
NPI assigned
Aug 2, 2011
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Andy T Hsu, DMD
Title
Dentist
Phone
(425) 641-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00010544 WA Primary

Addresses

Primary practice location

15230 NE 24TH St
Ste N
Redmond, WA 98052-5540

Mailing address

10212 5TH Ave NE
Ste 268
Seattle, WA 98125-7452
Phone (206) 527-5111

Other identifiers 2

IdentifierTypeStateIssuer
DE00010544OtherWALICENSE
1316024359OtherWAINDIVIDUAL NPI FOR DR. ANDY T. HSU

Other names 1

  • OVERLAKE FAMILY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

15230 NE 24th St
Ste N
Redmond, WA 98052
Phone (425) 641-5140

Practitioners & affiliated clinicians

Practitioners 4

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1669750063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE",
            "address_2": "STE 268",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257452",
            "telephone_number": "206-527-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 NE 24TH ST",
            "address_2": "STE N",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525540",
            "telephone_number": "425-641-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-641-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DE00010544",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR DR. ANDY T. HSU",
            "identifier": "1316024359",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERLAKE FAMILY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.