Individual provider Active NPI

Jack Hou, D.D.S., M.D,S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tukwila, WA
National Provider Identifier
1922138361
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00010474 Issued in WA
Practice address
411 Strander Blvd
Suite 102
Tukwila, WA 98188-2935
Phone
(206) 575-1194
Fax
(206) 575-3194
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00010474 WA Primary

Addresses

Primary practice location

411 Strander Blvd
Suite 102
Tukwila, WA 98188-2935

Mailing address

411 Strander Blvd
Suite 102
Tukwila, WA 98188-2935
Phone (206) 575-1194

Other practice location 1

2617 California Ave SW
Seattle, WA 98116-2404
Phone (206) 575-1194

Other practice location 2

451 Duvall Ave NE Ste 230
Renton, WA 98059-4675
Phone (425) 430-8844

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DE00010474WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
House, Lee, Mast, McDonald and Nelson, PC Orthodontics and Dentofacial Orthopedics PastSince Sep 8, 2019 Accepting new patients
House, Lee, Mast, McDonald and Nelson, PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1922138361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 102",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935",
            "telephone_number": "206-575-1194",
            "fax_number": "206-575-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 102",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882935",
            "telephone_number": "206-575-1194",
            "fax_number": "206-575-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2617 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981162404",
            "country_code": "US",
            "telephone_number": "206-575-1194",
            "fax_number": "206-575-3194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 Duvall Ave NE Ste 230",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980594675",
            "country_code": "US",
            "telephone_number": "425-430-8844",
            "fax_number": "425-430-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOU",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D,S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.