Organization Active NPI

Renton Smiles, LLC

  • General Practice Dentistry
  • Renton, WA
National Provider Identifier
1699446336
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RENTON SMILES, LLC
Practice address
10700 SE 174TH St Ste 202
Renton, WA 98055-5472
Phone
(425) 264-5163
Fax
(425) 264-5664
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Julie S Hong, DDSNPI 1174668966
Title
Owner
Phone
(425) 264-5163

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10700 SE 174TH St Ste 202
Renton, WA 98055-5472

Mailing address

620 SE Everett Mall Way Ste 310
Everett, WA 98208-3279
Phone (425) 264-5163

Other names 1

  • Renton Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

10700 SE 174th St
Ste 202
Renton, WA 98055
Phone (425) 228-3420

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1699446336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SE EVERETT MALL WAY STE 310",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083279",
            "telephone_number": "425-264-5163",
            "fax_number": "425-264-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SE 174TH ST STE 202",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555472",
            "telephone_number": "425-264-5163",
            "fax_number": "425-264-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-264-5163",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renton Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.