Active NPI
Masahiro Takakura, ND, LAC, DC
- Naturopath
- Seattle, WA
National Provider Identifier
1073635413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT1222
- 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, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034639 | WA | MD | Orthopedic Chiropractor |
| AC2275 | WA | MD | Acupuncturist |
| NT1222 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots for Health PLLC | Acupuncturist | Past | 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.