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EDWIN CHUNG
NPI 1649256074
Dentist - General Practice in Mountlake Terrace, WA

Active since December 18, 2005PECOS Enrolled
6505 216TH ST SW STE 200, MOUNTLAKE TERRACE, WA 98043(855) 433-6825 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Aug 2, 2019 (2 updates tracked since 2019).

About Edwin Chung NPPES

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

EDWIN CHUNG (NPI 1649256074) is an individual general practice provider in Mountlake Terrace, Washington, licensed in Washington (DE00009948) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649256074
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDWIN CHUNG
Location Address6505 216TH ST SW STE 200Mountlake Terrace, WA 98043-6026
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611
Phone(855) 433-6825
Sole ProprietorNo
Enumeration DateDecember 18, 2005
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1649256074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00009948
Definition
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.
6505 216TH ST SW STE 200, Mountlake Terrace, WA 98043
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Secondary Practice Locations 2

Location 16101 200th St SW Ste 201Lynnwood, WA 98036-6077 · Phone (855) 433-6825
Location 22111 N Northgate Way Ste 100Seattle, WA 98133-9018 · Phone (206) 367-6015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin Chung 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 98043 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 2

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

LICHUAN YANG DDS
Dentist
6505 216TH ST SW STE 200
MOUNTLAKE TERRACE, WA 98043
Snohomish County (855) 433-6825
JULIE FEATHERS
Dentist (General Practice)
6505 216TH ST SW STE 200
MOUNTLAKE TERRACE, WA 98043
Snohomish County (855) 433-6825

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 Edwin Chung's NPI number?

The NPI number for Edwin Chung is 1649256074. It was assigned to this individual provider in the NPPES registry on December 18, 2005.

Where is Edwin Chung located?

Edwin Chung practices at 6505 216th St SW Ste 200, Mountlake Terrace, WA 98043. The listed phone number is (855) 433-6825.

What is Edwin Chung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Edwin Chung enrolled in Medicare?

Yes. Edwin Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Chung was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.