Organization Active NPI

Redmond Dental Center

  • Dental Clinic/Center
  • Redmond, WA
National Provider Identifier
1962196527
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REDMOND DENTAL CENTER
Practice address
8299 161St Ave NE Ste 200
Redmond, WA 98052-3860
Phone
(425) 895-1289
Fax
(425) 895-1289
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Hyunsoo Lim, DDSNPI 1548810104
Title
Practice Owner
Phone
(425) 614-9261

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8299 161St Ave NE Ste 200
Redmond, WA 98052-3860

Mailing address

10940 250TH Ave NE
Redmond, WA 98053-6236
Phone (425) 614-9261

National Provider Directory

National Provider Directory

Locations

8299 161st Ave NE
Ste 200
Redmond, WA 98052
Phone (425) 881-7574

Practitioners & affiliated clinicians

Practitioners 2

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": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1962196527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 250TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980536236",
            "telephone_number": "425-614-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8299 161ST AVE NE STE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523860",
            "telephone_number": "425-895-1289",
            "fax_number": "425-895-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "HYUNSOO",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "425-614-9261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.