NPIMap

Organization Active NPI

Tommy Fong, DDS, Vivian M. Bennett, DDS, PC

Doing business as Highlands West Dental

  • General Practice Dentistry
  • Shoreline, WA
National Provider Identifier
1871628446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006035 Issued in WA
Legal business name
TOMMY FONG, DDS, VIVIAN M. BENNETT, DDS, PC
Doing business as
Highlands West Dental
Practice address
735 N 185TH St
Shoreline, WA 98133-3901
Phone
(206) 542-7000
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vivian Marie Bennett, DDSNPI 1225107204
Title
VP
Phone
(206) 542-7000

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
General Practice Dentistry 1223G0001X DE00006035 WA Primary

Addresses

Primary practice location

735 N 185TH St
Shoreline, WA 98133-3901

Mailing address

735 N 185TH St
Shoreline, WA 98133-3901
Phone (206) 542-7000

Other names 1

  • Highlands West Dental Doing business as

National Provider Directory

National Provider Directory

Locations

735 N 185th St
Shoreline, WA 98133
Phone (206) 542-7000

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871628446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N 185TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333901",
            "telephone_number": "206-542-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N 185TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333901",
            "telephone_number": "206-542-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY FONG, DDS, VIVIAN M. BENNETT, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "206-542-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands West Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, 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.