Henry K Chiang, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE60305935 Issued in WA

Practice address

20615 Bothell Everett Hwy Ste a
Bothell, WA 98012

Phone

(425) 686-7797

NPI assigned

Aug 1, 2006

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• HKC DDS Inc

  dba Affordable Family Dentistry

  • Dental Clinic/Center
  • Bothell, WA
  • NPI 1548626351

  Dentist

  NPD Authorized official
• Ming Truong, DDS, Inc.

  • General Practice Dentistry
  • Newport Beach, CA
  • NPI 1225421324
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1831106293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 BOTHELL EVERETT HWY STE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128556",
            "telephone_number": "425-686-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20615 BOTHELL EVERETT HWY STE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-686-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Hospital Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633509",
            "country_code": "US",
            "telephone_number": "949-646-7707",
            "fax_number": "949-646-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "HENRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54239",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60305935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chun Cheng, LEAMP, LAC, PHD
• Shi-Yuan Cheng, DPM
• Gerald E Cherney, OT
• Barbara Ann Chessler, OTR/L
• Vincent Chhean
• Children's Therapy of Woodinville (CTW)
• Yan Satik Chim
• Thomas M Chin, MD
• Candace Lavrie Chinn, DDS
• Nicole Cho, BA, MSC, LMHC

• Oral and Maxillofacial Surgery (Dentist) in Bothell, WA
• Providers in Bothell, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.