Individual provider Active NPI

Ngoc Doan

  • Dentist
  • Kent, WA
National Provider Identifier
1710441902
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60924969 Issued in WA
Practice address
25248 Pacific Hwy S Ste 105
Kent, WA 98032
Phone
(253) 946-5766
NPI assigned
Jan 22, 2019
Last updated
Feb 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60924969 WA Primary

Addresses

Primary practice location

25248 Pacific Hwy S Ste 105
Kent, WA 98032

Mailing address

25248 Pacific Hwy S Ste 105
Kent, WA 98032-6530
Phone (253) 260-2929

Other practice location 1

909 Sleater Kinney Rd SE
Lacey, WA 98503-1103
Phone (253) 260-2929

Other practice location 2

909 Sleater Kinney Rd SE
Lacey, WA 98503-1103
Phone (253) 260-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60924969WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Doan DDS PLLC CurrentSince Sep 20, 2020 Accepting new patients
Washington Dental Corporation Past Accepting new patients

Locations

728 S 320th St
Ste E
Federal Way, WA 98003
Phone (253) 941-6365

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1710441902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25248 PACIFIC HWY S STE 105",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326530",
            "telephone_number": "253-260-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25248 PACIFIC HWY S STE 105",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-946-5766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Sleater Kinney Rd SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031103",
            "country_code": "US",
            "telephone_number": "253-260-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Sleater Kinney Rd SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031103",
            "country_code": "US",
            "telephone_number": "253-260-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "NGOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60924969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; 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.