Organization Active NPI

Hyun Kwon DDS PLLC

Doing business as Sunrise Dental of Bothell/Mill Creek

  • General Practice Dentistry
  • Bothell, WA
National Provider Identifier
1699482067
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HYUN KWON DDS PLLC
Doing business as
Sunrise Dental of Bothell/Mill Creek
Practice address
18204 Bothell Everett Hwy Ste E
Bothell, WA 98012-6869
Phone
(425) 806-0077
Fax
(425) 806-0075
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Dr. Hyun Kwon, DDSNPI 1023149358
Title
Owner/Dentist
Phone
(425) 829-0627

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

18204 Bothell Everett Hwy Ste E
Bothell, WA 98012-6869

Mailing address

18204 Bothell Everett Hwy Ste E
Bothell, WA 98012-6869
Phone (425) 806-0077

Other names 1

  • Sunrise Dental of Bothell/Mill Creek Doing business as

National Provider Directory

National Provider Directory

Locations

18204 Bothell Everett Hwy
Ste E
Bothell, WA 98012
Phone (425) 806-0077

Practitioners & affiliated clinicians

Practitioners 1

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": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1699482067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18204 BOTHELL EVERETT HWY STE E",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126869",
            "telephone_number": "425-806-0077",
            "fax_number": "425-806-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18204 BOTHELL EVERETT HWY STE E",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126869",
            "telephone_number": "425-806-0077",
            "fax_number": "425-806-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN KWON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HYUN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-829-0627",
        "authorized_official_name_prefix": "Dr.",
        "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": "Sunrise Dental of Bothell/Mill Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.