Organization Active NPI

Rebekah Nguyen, PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1780259556
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REBEKAH NGUYEN, PLLC
Practice address
8541 15TH Ave NW # 100
Seattle, WA 98117-3606
Phone
(206) 590-1369
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Dr. Rebekah Hang Nguyen, DDSNPI 1912316001
Title
Dentist/Owner
Phone
(206) 590-1369

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8541 15TH Ave NW # 100
Seattle, WA 98117-3606

Mailing address

8541 15TH Ave NW Ste 100
Seattle, WA 98117-3625
Phone (206) 590-1369

Other names 1

  • Evergreen Smile Studio Doing business as

National Provider Directory

National Provider Directory

Locations

8541 15th Ave NW
Ste 100
Seattle, WA 98117
Phone (206) 590-1369

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": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1780259556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 15TH AVE NW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173625",
            "telephone_number": "206-590-1369",
            "fax_number": "206-316-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 15TH AVE NW # 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173606",
            "telephone_number": "206-590-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEKAH NGUYEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "HANG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-590-1369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evergreen Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.