Active NPI
Jason J Byun, D.D.S.
- Dentist
- Lynnwood, WA
National Provider Identifier
1881842383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60035280
- Practice address
- 5024 194TH St SW
Lynnwood, WA 98036-5449 - Phone
- (206) 680-0108
- NPI assigned
- Sep 9, 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 | DE 60035280 | WA | Primary |
Addresses
Primary practice location
5024 194TH St SW
Lynnwood, WA 98036-5449
Mailing address
5024 194TH Street SW
Lynnwood, WA 98036-4707
Phone (206) 680-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150305001734 | WA | Order and Referring Only - Oral Surgery | 0941526123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60035280 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1881842383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 194TH STREET SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364707",
"telephone_number": "206-680-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 194TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365449",
"telephone_number": "206-680-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYUN",
"first_name": "JASON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60035280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.