Individual provider Active NPI

Suwen Luu

  • Dentist
  • Redmond, WA
National Provider Identifier
1962575688
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008519 Issued in WA
Practice address
16255 NE 87TH St Ste 150
Redmond, WA 98052-7464
Phone
(425) 883-8000
Fax
(425) 883-7580
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00008519 WA Primary

Addresses

Primary practice location

16255 NE 87TH St Ste 150
Redmond, WA 98052-7464

Mailing address

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

Other practice location 1

12359 Lake City Way NE
Seattle, WA 98125-5401
Phone (206) 205-8580

Other identifiers 1

IdentifierTypeStateIssuer
5032313MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sluu20265@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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322002124 WA Order and Referring Only - Other (Non-Physician) 2062715451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint PastSince May 1, 2020 Accepting new patients
Healthpoint Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: suwen.luu.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: sluu20265@healthpoint.direct-ci.com

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1962575688",
    "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": "16255 NE 87TH ST STE 150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527464",
            "telephone_number": "425-883-8000",
            "fax_number": "425-883-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12359 Lake City Way NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981255401",
            "country_code": "US",
            "telephone_number": "206-205-8580",
            "fax_number": "206-205-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "SUWEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032313",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sluu20265@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "16255 NE 87th St Ste 150",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980527464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.