Active Wound Healing
NPI 1679264485 · Dermatology Physician · Graham, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Wound Healing is a Dermatology Physician organization in Graham, WA (NPI 1679264485).
Provider details
- NPI number
- 1679264485
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Huy Dang, Owner(253) 363-2911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 11 Hibiscus CtOld Bridge, NJ 08857-6771Phone: (360) 229-4438
Registry dates
- Enumerated
- 2023-05-15
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Active Wound Healing's NPI number?
- Active Wound Healing's National Provider Identifier (NPI) is 1679264485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Wound Healing?
- Active Wound Healing is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Active Wound Healing located?
- Active Wound Healing's practice location on file with NPPES is 13709 210th St E, Graham, WA 98338-6625.
- What is Active Wound Healing's phone number?
- The practice phone number listed in the NPPES registry for Active Wound Healing is (360) 229-4438.
- Does Active Wound Healing accept Medicare?
- Active Wound Healing is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Wound Healing?
- The authorized official listed on Active Wound Healing's NPPES record is Huy Dang, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Wound Healing's NPI active?
- Yes — Active Wound Healing's NPI (1679264485) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.