Organization Active NPI

Huzaifa Yasin D.M.D., P.S.

  • Dentist
  • Puyallup, WA
National Provider Identifier
1720714439
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HUZAIFA YASIN D.M.D., P.S.
Practice address
11012 Canyon Rd E Ste 40
Puyallup, WA 98373-4200
Phone
(347) 671-5042
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Huzaifa Yasin, DMDNPI 1447772702
Title
Ceo
Phone
(347) 671-5042

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11012 Canyon Rd E Ste 40
Puyallup, WA 98373-4200

Mailing address

29318 9TH PL S
Federal Way, WA 98003-3768
Phone (347) 671-5042

Other names 1

  • PUYALLUP SUMMIT DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Huzaifa Yasin DMD PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11012 Canyon Rd E
Ste 40
Puyallup, WA 98373
Phone (206) 954-8996

Practitioners & affiliated clinicians

Practitioners 1

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1720714439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29318 9TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033768",
            "telephone_number": "347-671-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 CANYON RD E STE 40",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734200",
            "telephone_number": "347-671-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUZAIFA YASIN D.M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "HUZAIFA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-671-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUYALLUP SUMMIT DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.