Organization Active NPI

Diane Tung DDS PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1669842332
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60041548 Issued in WA
Legal business name
DIANE TUNG DDS PLLC
Practice address
128 NE 52ND St
Seattle, WA 98105-3752
Phone
(206) 853-7173
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Diane Tung, DDSNPI 1598918146
Title
Pediatric Dentist
Phone
(206) 853-7173

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
Dental Clinic/Center 261QD0000X DE60041548 WA Primary

Addresses

Primary practice location

128 NE 52ND St
Seattle, WA 98105-3752

Mailing address

19270 Aurora Ave N
Ste 2
Shoreline, WA 98133-3963
Phone (206) 853-7173

National Provider Directory

National Provider Directory

Locations

19270 Aurora Ave N
Apt 2
Shoreline, WA 98133
Phone (206) 800-7790

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1669842332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19270 AURORA AVE N",
            "address_2": "STE 2",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333963",
            "telephone_number": "206-853-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NE 52ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053752",
            "telephone_number": "206-853-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE TUNG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "206-853-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60041548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.