Active NPI
Peter D. a, Huysing III, DMD
- Dentist
- Issaquah, WA
National Provider Identifier
1861649832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE7680
- Practice address
- 710 NW Juniper St Ste 206
Issaquah, WA 98027-2717 - Phone
- (425) 837-0634
- Fax
- (425) 837-0636
- NPI assigned
- Aug 21, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE7680 | WA | Primary |
Addresses
Primary practice location
710 NW Juniper St Ste 206
Issaquah, WA 98027-2717
Mailing address
710 NW Juniper St Ste 206
Issaquah, WA 98027-2717
Phone (425) 837-0634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE7680 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter D.a. Huysing, DMD, PLLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Issaquah, WA
- NPI 1710015631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1861649832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST STE 206",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "425-837-0634",
"fax_number": "425-837-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST STE 206",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "425-837-0634",
"fax_number": "425-837-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYSING",
"first_name": "PETER",
"middle_name": "D. A,",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE7680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.