NPIMap

Organization Active NPI

Caring Family Dentistry

  • General Practice Dentistry
  • Mill Creek, WA
National Provider Identifier
1861565079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9339 Issued in WA
Legal business name
CARING FAMILY DENTISTRY
Practice address
805 164TH Street SE
Suite 200
Mill Creek, WA 98012
Phone
(425) 745-6310
Fax
(425) 745-6170
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Johnny Tien, DDS
Title
Dentist Owner
Phone
(425) 745-6310

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

805 164th St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 745-6310

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9339 WA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9296 WA

Addresses

NPPES NPI Registry

Primary practice location

805 164TH Street SE
Suite 200
Mill Creek, WA 98012

Mailing address

805 164TH Street SE
Suite 200
Mill Creek, WA 98012
Phone (425) 745-6310

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5047956MedicaidWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861565079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 164TH STREET SE",
            "address_2": "SUITE 200",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-745-6310",
            "fax_number": "425-745-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 164TH STREET SE",
            "address_2": "SUITE 200",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-745-6310",
            "fax_number": "425-745-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIEN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "425-745-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9339",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5047956",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • 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.