Individual provider Active NPI

Masahiro Takakura, ND, LAC, DC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1073635413
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT1222 Issued in WA
Practice address
7621 Aurora Ave N
Seattle, WA 98103-4749
Phone
(206) 588-1061
Fax
(206) 297-6118
NPI assigned
Apr 5, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X CH00034639 WA
Acupuncturist 171100000X AC2275 WA
Naturopath 175F00000X NT1222 WA Primary

Addresses

Primary practice location

7621 Aurora Ave N
Seattle, WA 98103-4749

Mailing address

7621 Aurora Ave N
Seattle, WA 98103-4749
Phone (206) 588-1061

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
CH00034639WAMDOrthopedic Chiropractor
AC2275WAMDAcupuncturist
NT1222WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Roots for Health PLLC Acupuncturist PastSince Nov 24, 2019 Accepting new patients
Seattle Nature Cure Clinic Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1073635413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034749",
            "telephone_number": "206-588-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034749",
            "telephone_number": "206-588-1061",
            "fax_number": "206-297-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAKURA",
        "first_name": "MASAHIRO",
        "credential": "ND, LAC, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "CH00034639",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2275",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2011; 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.