HUAN SU D.D.S.
NPI 1194058669
Dentist - Periodontics in Tacoma, WA

Active since September 15, 2009PECOS Enrolled
2302 S UNION AVE, BUILDING C SUITE 22, TACOMA, WA 98405(253) 752-6336 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Huan Su D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUAN SU D.D.S. (NPI 1194058669) is an individual periodontics provider in Tacoma, Washington, licensed in Washington (DE60101496) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194058669
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameHUAN SUCredential: D.D.S.
Location Address2302 S UNION AVE, BUILDING C SUITE 22Tacoma, WA 98405-1300
Mailing Address1400 Lake Washington Blvd N, Apt A302Renton, WA 98056-2564 · (425) 988-4755
Sole ProprietorYes
Enumeration DateSeptember 15, 2009
NPI 1194058669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in WA · DE60101496
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DE60101496 (WA)
2302 S UNION AVE, Tacoma, WA 98405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Huan Su D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
2302 S UNION AVE, STE B-14
TACOMA, WA 98405
Pharmacy (Compounding Pharmacy)
2302 S UNION AVE
TACOMA, WA 98405
Dentist (General Practice)
2302 S UNION AVE, SUITE A-2
TACOMA, WA 98405
Dentist (Periodontics)
2302 S UNION AVE, C21
TACOMA, WA 98405
Dentist (Orthodontics and Dentofacial Orthopedics)
2302 S UNION AVE, STE B-14
TACOMA, WA 98405
Dentist
2302 S UNION AVE, SUITE A6
TACOMA, WA 98405
Internal Medicine (Addiction Medicine)
2302 S UNION AVE, SUITE C30
TACOMA, WA 98405
Specialist
2302 S UNION AVE, C-30
TACOMA, WA 98405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Huan Su's NPI number?

The NPI number for Huan Su is 1194058669. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Huan Su located?

Huan Su practices at 2302 S Union Ave Building C Suite 22, Tacoma, WA 98405. The listed phone number is (253) 752-6336.

What is Huan Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Huan Su enrolled in Medicare?

Yes. Huan Su is registered in the Medicare PECOS enrollment system.

What insurance does Huan Su accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Huan Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Huan Su was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.