NPIMap

Organization Active NPI

H Todd Su DDS PLLC

Doing business as Burien Plaza Dental, Dentures & Implant Center

  • Dentist
  • Burien, WA
National Provider Identifier
1861748766
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60160944 Issued in WA
Legal business name
H TODD SU DDS PLLC
Doing business as
Burien Plaza Dental, Dentures & Implant Center
Practice address
116 SW 148TH St Ste D100
Burien, WA 98166-4607
Phone
(206) 246-7999
Fax
(206) 246-7788
NPI assigned
Jul 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Huan Su, DDS, MSNPI 1194058669
Title
Dentist
Phone
(206) 246-7999

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60160944 WA Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DE60119341 WA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DE60101496 WA
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DE60160952 WA

Addresses

Primary practice location

116 SW 148TH St Ste D100
Burien, WA 98166-4607

Mailing address

116 SW 148TH St Ste D100
Burien, WA 98166-4607
Phone (206) 246-7999

Other names 1

  • Burien Plaza Dental, Dentures & Implant Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215000344 WA Part B Supplier - Clinic/Group Practice 7214309509 Receives reassigned benefits from 1 practitioner
Practice locations: Burien, WA

National Provider Directory

National Provider Directory

Locations

116 SW 148th St
Ste D100
Burien, WA 98166
Phone (206) 246-7999

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1861748766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SW 148TH ST STE D100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981664607",
            "telephone_number": "206-246-7999",
            "fax_number": "206-246-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SW 148TH ST STE D100",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981664607",
            "telephone_number": "206-246-7999",
            "fax_number": "206-246-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H TODD SU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-28",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "HUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-246-7999",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60160944",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60119341",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60101496",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE60160952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burien Plaza Dental, Dentures & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.