Active NPI
Lena Fusa Ogiwara, DMD
- General Practice Dentistry
- Silverdale, WA
National Provider Identifier
1003562026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61405144
- Practice address
- 3100 NW Bucklin Hill Rd Ste 202
Silverdale, WA 98383-8362 - Phone
- (360) 377-3776
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE61405144 | WA | Primary |
Addresses
Primary practice location
3100 NW Bucklin Hill Rd Ste 202
Silverdale, WA 98383-8362
Mailing address
2533 Stephenson Ave
Bremerton, WA 98310-2630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61405144 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1003562026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 STEPHENSON AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983102630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NW BUCKLIN HILL RD STE 202",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838362",
"telephone_number": "360-377-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGIWARA",
"first_name": "LENA",
"middle_name": "FUSA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61405144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.