OrganizationActive
Kevin Song, DDS, Ps
NPI 1164761540 · Dentist · Tacoma, WA
Kevin Song, DDS, Ps is a Dentist organization in Tacoma, WA (NPI 1164761540).
Provider details
- NPI number
- 1164761540
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Song, President(253) 475-1521
- License
- 60065174 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5221 Pacific Ave
Tacoma, WA 98408-7625
Phone: (253) 475-1521
Street-level locationGet directions
Mailing address
5221 Pacific Ave
Tacoma, WA 98408-7625
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2013-02-05
Frequently asked questions
- What is Kevin Song, DDS, Ps's NPI number?
- Kevin Song, DDS, Ps's National Provider Identifier (NPI) is 1164761540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin Song, DDS, Ps?
- Kevin Song, DDS, Ps is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kevin Song, DDS, Ps located?
- Kevin Song, DDS, Ps's practice location on file with NPPES is 5221 Pacific Ave, Tacoma, WA 98408-7625.
- What is Kevin Song, DDS, Ps's phone number?
- The practice phone number listed in the NPPES registry for Kevin Song, DDS, Ps is (253) 475-1521.
- Who is the authorized official for Kevin Song, DDS, Ps?
- The authorized official listed on Kevin Song, DDS, Ps's NPPES record is Kevin Song, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin Song, DDS, Ps's NPI active?
- Yes — Kevin Song, DDS, Ps's NPI (1164761540) is active in the NPPES registry as of the last update on 2013-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.