Individual provider Active NPI

Michael Duong, D.M.D.

  • Dentist
  • Des Moines, WA
National Provider Identifier
1922482975
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60570235 Issued in WA
Practice address
26401 Pacific Hwy S Ste 201
Des Moines, WA 98198-9247
Phone
(206) 870-3600
NPI assigned
Jul 18, 2015
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60570235 WA Primary
General Practice Dentistry 1223G0001X DE60570235 WA

Addresses

Primary practice location

26401 Pacific Hwy S Ste 201
Des Moines, WA 98198-9247

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

23320 Highway 99
Edmonds, WA 98026-8744
Phone (425) 640-5533

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mduong20231@healthpoint.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408003062 WA Practitioner - Dentist 4082920350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60570235WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Feb 24, 2020 Accepting new patients
Healthpoint CurrentSince Feb 24, 2020 Accepting new patients
Healthpoint Current Accepting new patients
Healthpoint Past Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

4040 S 188th St
Ste 201
Seatac, WA 98188
Phone (206) 277-7200

Interoperability endpoints

  • Direct secure messaging: michael.duong.p3@direct.hpc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1922482975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S STE 201",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-870-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23320 Highway 99",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268744",
            "country_code": "US",
            "telephone_number": "425-640-5533",
            "fax_number": "425-640-5534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60570235",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60570235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mduong20231@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "26401 Pacific Hwy S Ste 201",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981989247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.