NPIMap

Organization Active NPI

Hwang Ghorbanian Im II DDS PS

  • General Practice Dentistry
  • Everett, WA
National Provider Identifier
1700494747
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HWANG GHORBANIAN IM II DDS PS
Doing business as
Sunrise Dental of Everett
Practice address
111 SE Everett Mall Way Ste B100
Everett, WA 98208-3208
Phone
(425) 513-2000
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Sarah Im
Title
Office Manager
Phone
(425) 450-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 SE Everett Mall Way Ste B100
Everett, WA 98208-3208

Mailing address

111 SE Everett Mall Way Ste B100
Everett, WA 98208-3208
Phone (425) 513-2000

Other names 1

  • Sunrise Dental of Everett Doing business as

National Provider Directory

National Provider Directory

Locations

111 SE Everett Mall Way
Ste B100
Everett, WA 98208
Phone (425) 513-2000

Practitioners & affiliated clinicians

Practitioners 3

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": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1700494747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE EVERETT MALL WAY STE B100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083208",
            "telephone_number": "425-513-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE EVERETT MALL WAY STE B100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083208",
            "telephone_number": "425-513-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWANG GHORBANIAN IM II DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-450-9500"
    },
    "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 Everett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.