Active NPI
Kevin H Sakai, DDS
- Pediatric Dentistry
- Puyallup, WA
National Provider Identifier
1043346851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00010783
- Practice address
- 311 River Rd
Suite 201
Puyallup, WA 98371-4113 - Phone
- (253) 200-2500
- Fax
- (253) 200-2503
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00010783 | WA | Primary |
Addresses
Primary practice location
311 River Rd
Suite 201
Puyallup, WA 98371-4113
Mailing address
311 River Rd
Suite 201
Puyallup, WA 98371-4113
Phone (253) 200-2500
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 |
|---|---|---|---|
| DE00010783 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1043346851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 RIVER RD",
"address_2": "SUITE 201",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983714113",
"telephone_number": "253-200-2500",
"fax_number": "253-200-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 RIVER RD",
"address_2": "SUITE 201",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983714113",
"telephone_number": "253-200-2500",
"fax_number": "253-200-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKAI",
"first_name": "KEVIN",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00010783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.