Active NPI
Renton Smiles, LLC
- General Practice Dentistry
- Renton, WA
National Provider Identifier
1699446336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie S Hong, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Everett, WA
- NPI 1174668966
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.