Organization Active NPI

Richard V Sodergren DDS PS

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1861291056
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHARD V SODERGREN DDS PS
Doing business as
First Impressions Dental Care
Practice address
2000 Benson Rd S Ste 260
Renton, WA 98055-4452
Phone
(425) 277-5000
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Richard Sodergren, DDSNPI 1801914098
Title
President
Phone
(425) 277-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Benson Rd S Ste 260
Renton, WA 98055-4452

Mailing address

2000 Benson Rd S Ste 260
Renton, WA 98055-4452
Phone (425) 277-5000

Other names 1

  • First Impressions Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2000 Benson Rd S
Ste 260
Renton, WA 98055
Phone (425) 277-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1861291056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BENSON RD S STE 260",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554452",
            "telephone_number": "425-277-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BENSON RD S STE 260",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554452",
            "telephone_number": "425-277-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD V SODERGREN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "SODERGREN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-277-5000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Impressions Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.