Organization Active NPI

Mamiko Kuriya DDS PS

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1013463371
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE 10425 Issued in WA
Legal business name
MAMIKO KURIYA DDS PS
Practice address
530 Broadway East
Apt #502
Seattle, WA 98102
Phone
(206) 747-7661
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mamiko Kuriya, D.D.S, M.S.D
Title
Owner/ Dentist
Phone
(206) 747-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE 10425 WA Primary

Addresses

Primary practice location

530 Broadway East
Apt #502
Seattle, WA 98102

Mailing address

1400 NW Market Street
Suite 101
Seattle, WA 98107
Phone (206) 946-6970

Other identifiers 1

IdentifierTypeStateIssuer
2021256MedicaidWA

Other names 1

  • Ballard Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1400 NW Market St
Ste 101
Seattle, WA 98107
Phone (206) 946-6970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1013463371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW MARKET STREET",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-946-6970",
            "fax_number": "206-494-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BROADWAY EAST",
            "address_2": "APT #502",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98102",
            "telephone_number": "206-747-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMIKO KURIYA DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "KURIYA",
        "authorized_official_first_name": "MAMIKO",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "206-747-7661",
        "authorized_official_credential": "D.D.S, M.S.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 10425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021256",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.