Paper Street Periodontics & Implant Dentristry

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PAPER STREET PERIODONTICS & IMPLANT DENTRISTRY

Practice address

2505 S 320TH St
Suite 330
Federal Way, WA 98003-5400

Phone

(206) 400-0800

Fax

(253) 874-9068

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C. Kang, DDS

Title

Periodontist

Phone

(206) 400-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790817005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST",
            "address_2": "SUITE 330",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035400",
            "telephone_number": "206-400-0800",
            "fax_number": "253-874-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST",
            "address_2": "SUITE 330",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035400",
            "telephone_number": "206-400-0800",
            "fax_number": "253-874-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPER STREET PERIODONTICS & IMPLANT DENTRISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "206-400-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DE00010542",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine O Palermo, MD
• Peggy Palm
• Kimberly A. Palmer-Yee, DC
• Leonico Garcia Panlasigui, M.D.
• Pap N Mum Afh
• Iandine Hans Torres Paras, M.D.
• Chaey Kim Park, RN
• Chanyong Park, LAC.
• Cheong W Park
• Chung Caryn Park

• Periodontics in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Periodontics in Washington

• 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.