Active NPI
Man Sunwoo, DMD
- General Practice Dentistry
- Bellevue, WA
National Provider Identifier
1841339769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE9484
- Practice address
- 14700 NE 8TH St
Suite 210
Bellevue, WA 98007 - Phone
- (425) 378-1600
- Fax
- (425) 643-0971
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE9484 | WA | Primary |
Addresses
Primary practice location
14700 NE 8TH St
Suite 210
Bellevue, WA 98007
Mailing address
14700 NE 8TH St
Suite 210
Bellevue, WA 98007
Phone (425) 378-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 1, 2016 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE9484 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Man Sunwoo, DMD PLLC | General Practice | Current | Accepting new patients |
Locations
14700 NE 8th St
Ste 210
Bellevue, WA 98007
Phone (425) 378-1600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1841339769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 NE 8TH ST",
"address_2": "SUITE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-378-1600",
"fax_number": "425-643-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 NE 8TH ST",
"address_2": "SUITE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-378-1600",
"fax_number": "425-643-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNWOO",
"first_name": "MAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE9484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.