SUNRISE DENTAL SPECIALIST
NPI 1962933150
Dentist in Bellevue, WA

NPI Status: Active since March 21, 2017

Contact Information

1200 112TH AVE NE
C222
BELLEVUE, WA
ZIP 98004
Phone: (425) 450-9500
Fax: (425) 450-5008

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  • Organization
  • Dentist
  • Accepts Insurance

About SUNRISE DENTAL SPECIALIST

This page provides the complete NPI Profile along with additional information for Sunrise Dental Specialist, a provider established in Bellevue, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1962933150 assigned on March 2017. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Sunrise Dental Specialist operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sunrise Dental Specialist. The authorized official of this NPI record is Sarah Im (Office Manager)

NPI
1962933150
Provider Legal Name
EDWARD IM DDS PS
Other Organization Name
SUNRISE DENTAL SPECIALIST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1200 112TH AVE NE C222 BELLEVUE, WA 98004
Location Phone
(425) 450-9500
Location Fax
(425) 450-5008
Mailing Address
1200 112TH AVE NE C222 BELLEVUE, WA 98004
Mailing Phone
(425) 450-9500
Mailing Fax
(425) 450-5008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2017
Last Update Date
03-21-2017
Code Navigator

A dentist like Sunrise Dental Specialist is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License State
WA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223P0300XDental Providers

Dentist
Periodontics

(WA)
21223X0400XDental Providers

Dentist
Orthodontics and Dentofacial Orthopedics

(WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARAH IM

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(425) 450-9500

Reviews for SUNRISE DENTAL SPECIALIST

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962933150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221836110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 8 + 3 + 6 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1962933150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558359984MS. LINDA M FLUKE ARNP
Individual
Nurse Practitioner (Adult Health)1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1588652572MS. ALEETA S VANPETTEN MD
Individual
Family Medicine1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1013905009MRS. JANINE R COOLEY MD
Individual
Family Medicine1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1821086810MR. ANTONY S EGNAL MD
Individual
Family Medicine1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1871582197MRS. LEILANI D PARAS MD
Individual
Family Medicine1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1508856584MR. STEVEN SINGER RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1200 112TH AVE NE #A-100
BELLEVUE, WA 98004
(425) 455-2123
1033109855MS. DENISE S KRAFT MD
Individual
Family Medicine1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1588602569 RENEE CANTARINI ARNP
Individual
Nurse Practitioner (Family)1200 112TH AVE NE SUITE C160
BELLEVUE, WA 98004
(425) 453-1039
1063435295 SUZAN MARIE BOYD PA-C
Individual
Family Medicine1200 112TH AVE NE SUITE C160
BELLVUE, WA 98004
(425) 453-1039
1851305866 CHARLES G JACKSON MD
Individual
Allergy & Immunology (Allergy)1200 112TH AVE NE SUITE C-210
BELLEVUE, WA 98004
(425) 454-2191
1558378315DR. REBECCA T RUUD MD
Individual
Internal Medicine1200 112TH AVE NE B250
BELLEVUE, WA 98004
(425) 462-1132
1548373368EASTSIDE FAMILY MEDICINE CLINIC
Organization
Family Medicine1200 112TH AVE NE STE C160
BELLEVUE, WA 98004
(425) 453-1039
1033205166MS. LISA R. BEDARD PT
Individual
Physical Therapist1200 112TH AVE NE SUITE C260
BELLEVUE, WA 98004
(425) 462-5006
1275606188 EDWARD IM DDS
Individual
Dentist (General Practice)1200 112TH AVE NE SUITE C-222
BELLEVUE, WA 98004
(425) 450-9500
1447325071 ABRAHAM GHORBANIAN DDS, MS
Individual
Dentist (General Practice)1200 112TH AVE NE SUITE C-222
BELLEVUE, WA 98004
(425) 450-9500
1548318132HATTINGH HOLDINGS INC
Organization
Prosthetic/Orthotic Supplier1200 112TH AVE NE STE C152
BELLEVUE, WA 98004
(425) 688-1313
1831384155MS. JOLENE SHANNON O'NEILL PT
Individual
Physical Therapist (Orthopedic)1200 112TH AVE NE SUITE C260
BELLEVUE, WA 98004
(425) 462-5006
1427221639MINOR & JAMES MEDICAL PLLC
Organization
Durable Medical Equipment & Medical Supplies1200 112TH AVE NE
BELLEVUE, WA 98004
(206) 386-9500
1205096864DR. DONALD R JOONDEPH DDS, MS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)1200 112TH AVE NE SUITE B-200
BELLEVUE, WA 98004
(425) 453-0551
1760615066DR. JULIA KATHLEEN BARON PT,DPT
Individual
Physical Therapist1200 112TH AVE NE SUITE C-260
BELLEVUE, WA 98004
(425) 462-5006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962933150, enumerated in the NPI registry as an "organization" on March 21, 2017

The provider is located at 1200 112th Ave Ne C222 Bellevue, Wa 98004 and the phone number is (425) 450-9500

This medical organization specializes in Dentist with taxonomy code 122300000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 21, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.