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Edwin Chung

Dentist - General Practice β€’ Mountlake Terrace, WA

Active NPI 1649256074 Individual Practitioner Male Practitioner
Practice location in NPPES

6505 216th St Sw Ste 200
Mountlake Terrace, WA 980436026

Call 8554336825 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

6505 216th St Sw Ste 200

Mountlake Terrace, WA 980436026

Telephone 8554336825
Organization at the Same NPPES Address or Phone
Willamette Dental Facility NPI 1194143065

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Lynnwood, WA; Seattle, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

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

Open Payments general payments, program year 2019

All general payments: $29.95 across 2 records.

By nature of payment

  • Food and Beverage: $29.95 across 2 records.

Reporting-company totals

  • Dentsply Sirona Inc: $17.67 across 1 record.
  • KULZER, LLC: $12.28 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2005

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, β€œDoes 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

Enrolled in Medicare (PECOS)

Edwin Chung has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Edwin Chung as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mountlake Terrace and Washington

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

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

Telehealth indicator in Mountlake Terrace

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $29.95.

Manufacturer Payment Nature Product Type Amount ($)
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
WaveOne General $17.67
KULZER, LLC
Food and Beverage
Cash or cash equivalent
IVORY RELEAF General $12.28

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE00009948

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20150601001636

Enrollment State Jurisdiction

WA

PECOS Control ID

3476874652

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

6101 200th St Sw Ste 201

Lynnwood, WA 980366077

Phone: 8554336825

2111 N Northgate Way Ste 100

Seattle, WA 981339018

Phone: 2063676015

Clinicians Sharing This Practice Address or Phone

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

22 listed
Dr. Eric Alston , DMD

Dentist - General Practice

NPI 1194165878

Doctor of Dental Medicine

NPI 1124530043

Doctor of Dental Surgery

NPI 1033464524

Doctor of Dental Medicine

Dr. Thao Chu , DDS

Dentist - General Practice

NPI 1033213657

Doctor of Dental Surgery

Dr. Elisabeth Gorman , DMD

Dentist - General Practice

NPI 1063988558

Doctor of Dental Medicine

NPI 1053818625

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location October 27, 2020

Registered at 6505 216TH ST SW STE 200, MOUNTLAKE TERRACE, WA 980436026 (Tel: 8554336825)

βœ…
NPI Profile Active May 16, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 16, 2015

Registered at 2111 N NORTHGATE WAY STE 100, SEATTLE, WA 981339018 (Tel: 2063676015)

πŸ“
Business Mailing Address (Initial Record) May 16, 2015

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611

πŸ‘€
Provider Name / Credentials (Initial Record) May 16, 2015

Recorded as EDWIN CHUNG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2015

Dentist (license number reported to NPPES: WA DE00009948)

🟒
Initial NPI Registration & Enumeration December 18, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649256074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2005
Last Update: October 27, 2020
Sole Proprietor: No

Other Dentist - General Practices in Mountlake Terrace

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

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.