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Peter K Chung

Dentist - General Practice • Kent, WA

Active NPI 1063726719 Individual Practitioner Male Practitioner
Practice location in NPPES

25610 104th Ave Se
Kent, WA 980307610

Call 2538509777 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

25610 104th Ave Se

Kent, WA 980307610

Telephone 2538509777
Organization at the Same NPPES Address or Phone
Nurani, Mitchell, Kim, Pc Facility NPI 1053756049

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $16.00 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kent and Washington

65 active clinicians are listed under Dentist - General Practice with a practice address in Kent, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kent

0% of these 65 clinicians have the CMS telehealth indicator.

0% of these 65 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $16.00.

Manufacturer Payment Nature Product Type Amount ($)
GC America Inc.
Food and Beverage
Cash or cash equivalent
Equia General $16.00

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE60168936

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Tameem Anwar , DDS

Dentist - General Practice

NPI 1104999853

Doctor of Dental Surgery

Dr. Benjamin Dorantes , DDS

Dentist - General Practice

NPI 1144393893

Doctor of Dental Surgery

Thomas Faber

Dentist - Periodontics

NPI 1376607465
Dr. Julie Kim , DMD

Dentist - General Practice

NPI 1447636618

Doctor of Dental Medicine

Dr. Hosan Park , DDS

Dentist - Periodontics

NPI 1104363019

Doctor of Dental Surgery

Career & Practice History

NPI enumerated August 04, 2010.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1063726719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2010
Last Update: April 05, 2012
Sole Proprietor: Yes

Other Dentist - General Practices in Kent

All Dentist - General Practices in Kent

Mailing Address

25610 104th Ave Se

Kent, WA 980307610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.