Organization Active NPI

Edmund H. Kwan DDS MSD PS

  • Endodontics
  • Tukwila, WA
National Provider Identifier
1710924873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
EDMUND H. KWAN DDS MSD PS
Practice address
6715 Fort Dent Way
Tukwila, WA 98188
Phone
(206) 248-3330
Fax
(206) 431-1158
NPI assigned
May 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edmund H Kwan, DDSNPI 1558467829
Title
Owner Pres
Phone
(206) 248-3330

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

6715 Fort Dent Way
Tukwila, WA 98188

Mailing address

6715 Fort Dent Way
Tukwila, WA 98188
Phone (206) 248-3330

National Provider Directory

National Provider Directory

Locations

6715 Fort Dent Way
Tukwila, WA 98188
Phone (206) 248-3330

Practitioners & affiliated clinicians

Practitioners 4

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710924873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 FORT DENT WAY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-248-3330",
            "fax_number": "206-431-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 FORT DENT WAY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-248-3330",
            "fax_number": "206-431-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND H. KWAN DDS MSD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "206-248-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

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