NPIMap

Organization Active NPI

Philip K Jung DDS PS

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1740839117
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PHILIP K JUNG DDS PS
Practice address
35 148TH Ave SE
Bellevue, WA 98007-5166
Phone
(425) 746-1441
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Philip K Jung, DDS
Title
President
Phone
(425) 746-1441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

35 148TH Ave SE
Bellevue, WA 98007-5166

Mailing address

35 148TH Ave SE
Bellevue, WA 98007-5166
Phone (425) 746-1441

National Provider Directory

National Provider Directory

Locations

35 148th Ave SE
Bellevue, WA 98007
Phone (425) 746-1441

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1740839117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 148TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075166",
            "telephone_number": "425-746-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 148TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075166",
            "telephone_number": "425-746-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP K JUNG DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-746-1441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.