Kanako J Nagatomo, DDS, MSD, PHD

Primary specialty

DentistTaxonomy code 122300000X

License

DE603596220 Issued in WA

Practice address

10014 238TH St SW
Edmonds, WA 98020-5735

Phone

(206) 542-5590

Fax

(206) 542-5977

NPI assigned

Dec 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Nagatomo DDS PHD PLLC

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1831047844
  NPD Authorized official
• North Seattle Periodontics

  • Periodontics
  • Shoreline, WA
  • NPI 1013865070

  Dentist

  NPD Authorized official
• Ed Cardiff D.D.S., P.S.

  • General Practice Dentistry
  • Edmonds, WA
  • NPI 1316190234
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1124459599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 238TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205735",
            "telephone_number": "206-542-5590",
            "fax_number": "206-542-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 238TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205735",
            "telephone_number": "206-542-5590",
            "fax_number": "206-542-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGATOMO",
        "first_name": "KANAKO",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "DDS, MSD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE603596220",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE603596220",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE603596220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melike Z. Myers, M.B.A., CH.E, R.C.
• Tammie Lynn Myers, CDP
• Frances Margaret Mylet
• Myo-Spir, LLC
• Reza Nabaie, DDS
• Naguib Youssef DDS PLLC
• Caitlin Adele Nalbandian
• Nash Chiropractic PS
• Matthew D Nash, DC
• Natural Reflections Healthcare, PS

• Dentist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.