Individual provider Active NPI

Karen Wang, DDS

  • Dentist
  • Bothell, WA
National Provider Identifier
1790271013
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60877844 Issued in WA
Practice address
18323 98TH Ave NE Ste 4
Bothell, WA 98011-3358
Phone
(425) 485-8292
NPI assigned
Jul 10, 2018
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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 DE60877844 WA Primary

Addresses

Primary practice location

18323 98TH Ave NE Ste 4
Bothell, WA 98011-3358

Mailing address

18323 98TH Ave NE Ste 4
Bothell, WA 98011-3358
Phone (425) 485-8292

Other practice location 1

715 N 182nd St Ste 401
Shoreline, WA 98133-4402
Phone (206) 953-5799

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
DE60877844WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley J Bemis PS Dentist Past Accepting new patients
Nagatomo DDS PHD PLLC Past Accepting new patients

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1790271013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE STE 4",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "425-485-8292",
            "fax_number": "425-485-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE STE 4",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "425-485-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 N 182nd St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981334402",
            "country_code": "US",
            "telephone_number": "206-953-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60877844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.