Individual provider Active NPI

Joseph Sakumura, AUD

  • Audiologist
  • Largo, FL
National Provider Identifier
1104307156
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2223 Issued in FL
Practice address
8200 Bryan Dairy Rd Ste 340
Largo, FL 33777-1365
Phone
(727) 398-5728
Fax
(727) 398-4914
NPI assigned
Aug 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2223 FL Primary

Addresses

Primary practice location

8200 Bryan Dairy Rd Ste 340
Largo, FL 33777-1365

Mailing address

8200 Bryan Dairy Rd Ste 340
Largo, FL 33777-1365
Phone (727) 398-5728

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1104307156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 BRYAN DAIRY RD STE 340",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771365",
            "telephone_number": "727-398-5728",
            "fax_number": "727-398-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BRYAN DAIRY RD STE 340",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771365",
            "telephone_number": "727-398-5728",
            "fax_number": "727-398-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKUMURA",
        "first_name": "JOSEPH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.