NPIMap

Organization Active NPI

Kai Morimoto MD PLLC

  • Plastic Surgery Physician
  • Spokane Valley, WA
National Provider Identifier
1003352410
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00036729 Issued in WA
Legal business name
KAI MORIMOTO MD PLLC
Practice address
12615 E Mission Ave
Suite 105
Spokane Valley, WA 99216-3060
Phone
(509) 315-4415
Fax
(509) 315-8304
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Gannon
Title
Practice Manager
Phone
(509) 315-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD00036729 WA Primary

Addresses

Primary practice location

12615 E Mission Ave
Suite 105
Spokane Valley, WA 99216-3060

Mailing address

12615 E Mission Ave
Suite 105
Spokane Valley, WA 99216-3060
Phone (509) 315-4415

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1003352410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 E MISSION AVE",
            "address_2": "SUITE 105",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992163060",
            "telephone_number": "509-315-4415",
            "fax_number": "509-315-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 E MISSION AVE",
            "address_2": "SUITE 105",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992163060",
            "telephone_number": "509-315-4415",
            "fax_number": "509-315-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAI MORIMOTO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "509-315-4415"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00036729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.