Individual provider Active NPI

Karl Kiyotaka Furukawa, DDS

  • Prosthodontics
  • Fort Huachuca, AZ
National Provider Identifier
1154300846
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE00005568 Issued in WA
Practice address
2240 E Winrow Ave
U.S. Army Dental Activity
Fort Huachuca, AZ 85613-7040
Phone
(520) 533-3144
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DE00005568 WA Primary

Addresses

Primary practice location

2240 E Winrow Ave
U.S. Army Dental Activity
Fort Huachuca, AZ 85613-7040

Mailing address

51005 Winans Riley Barracks East Wing
U.S. Army Dental Activity
Fort Huachuca, AZ 85613-7040
Phone (520) 533-3144

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
DE00005568WAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1154300846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51005 WINANS RILEY BARRACKS EAST WING",
            "address_2": "U.S. ARMY DENTAL ACTIVITY",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137040",
            "telephone_number": "520-533-3144",
            "fax_number": "520-624-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E WINROW AVE",
            "address_2": "U.S. ARMY DENTAL ACTIVITY",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137040",
            "telephone_number": "520-533-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURUKAWA",
        "first_name": "KARL",
        "middle_name": "KIYOTAKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00005568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Huachuca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.