Individual provider Active NPI

Satomi Hirai, D.P.D.

  • Denturist
  • Bothell, WA
National Provider Identifier
1053412098
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
0000258 Issued in WA
Practice address
10137 Main St
Suite 7
Bothell, WA 98011-3422
Phone
(425) 483-4643
Fax
(425) 483-1493
NPI assigned
Sep 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X 0000258 WA Primary

Addresses

Primary practice location

10137 Main St
Suite 7
Bothell, WA 98011-3422

Mailing address

10137 Main St
Suit 7
Bothell, WA 98011-3422
Phone (425) 483-4643

Other identifiers 2

IdentifierTypeStateIssuer
8029423MedicaidWA
5036835MedicaidWA

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

LicenseStateTypeSpecialty
0000258WAMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bothell Denture Clinic, Inc. Denturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053412098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10137 MAIN ST",
            "address_2": "SUIT 7",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113422",
            "telephone_number": "425-483-4643",
            "fax_number": "425-483-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10137 MAIN ST",
            "address_2": "SUITE 7",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113422",
            "telephone_number": "425-483-4643",
            "fax_number": "425-483-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRAI",
        "first_name": "SATOMI",
        "name_prefix": "Ms.",
        "credential": "D.P.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "0000258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8029423",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036835",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.