NPIMap

Organization Active NPI

Total Dental Care PLLC

  • Dental Clinic/Center
  • Shoreline, WA
National Provider Identifier
1811307291
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE 60331683 Issued in WA
Legal business name
TOTAL DENTAL CARE PLLC
Practice address
20011 Ballinger Way NE Ste B100
Shoreline, WA 98155-1286
Phone
(206) 946-6471
Fax
(206) 946-6473
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Trey Nguyen, DDS
Title
Owner
Phone
(206) 946-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE 60331683 WA Primary

Addresses

Primary practice location

20011 Ballinger Way NE Ste B100
Shoreline, WA 98155-1286

Mailing address

20011 Ballinger Way NE Ste B100
Shoreline, WA 98155-1286
Phone (206) 946-6471

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1811307291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20011 BALLINGER WAY NE STE B100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551286",
            "telephone_number": "206-946-6471",
            "fax_number": "206-946-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20011 BALLINGER WAY NE STE B100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551286",
            "telephone_number": "206-946-6471",
            "fax_number": "206-946-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-946-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 60331683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.