Organization Active NPI

Byungkyu Son & Judy Yi DDS PLLC

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1881945848
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60034458 Issued in WA
Legal business name
BYUNGKYU SON & JUDY YI DDS PLLC
Practice address
34410 16TH Ave S Ste 103
Federal Way, WA 98003-8381
Phone
(253) 777-6699
NPI assigned
Sep 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2012

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

Authorized official

Name
Dr. Byungkyu Son, DDSNPI 1245480391
Title
Owner
Phone
(253) 777-6699

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DE 60034458 WA Primary

Addresses

Primary practice location

34410 16TH Ave S Ste 103
Federal Way, WA 98003-8381

Mailing address

34410 16TH Ave S Ste 103
Federal Way, WA 98003-8381

Other names 1

  • Bella Dental Doing business as

National Provider Directory

National Provider Directory

Locations

34410 16th Ave S
Ste 103
Federal Way, WA 98003
Phone (253) 307-8633

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348963200000",
    "number": "1881945848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34410 16TH AVE S STE 103",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34410 16TH AVE S STE 103",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038381",
            "telephone_number": "253-777-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUNGKYU SON & JUDY YI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-30",
        "last_updated": "2012-09-30",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "BYUNGKYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-777-6699",
        "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": "DE 60034458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; 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.