NPIMap

Organization Active NPI

Hsu Kim and Ghorbanian PLLC

  • Dentist
  • Sequim, WA
National Provider Identifier
1699064360
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10147 Issued in WA
Legal business name
HSU KIM AND GHORBANIAN PLLC
Practice address
1258 W Washington St
#303
Sequim, WA 98382-3227
Phone
(360) 797-1100
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Karen Crouse, CPA
Title
Accountant
Phone
(360) 457-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10147 WA Primary

Addresses

Primary practice location

1258 W Washington St
#303
Sequim, WA 98382-3227

Mailing address

1258 W Washington St
#303
Sequim, WA 98382-3227
Phone (360) 797-1100

Other names 1

  • SUNRISE DENTAL OF SEQUIM Doing business as

National Provider Directory

National Provider Directory

Locations

1258 W Washington St
#303
Sequim, WA 98382
Phone (360) 797-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1699064360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 W WASHINGTON ST",
            "address_2": "#303",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823227",
            "telephone_number": "360-797-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W WASHINGTON ST",
            "address_2": "#303",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823227",
            "telephone_number": "360-797-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSU KIM AND GHORBANIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "360-457-3303",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "10147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE DENTAL OF SEQUIM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.