Individual provider Active NPI

Akihiko Shirakura, D.D.S.

  • Prosthodontics
  • Armonk, NY
National Provider Identifier
1225136195
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
051741 Issued in NY
Practice address
40 Bedford Rd
Armonk, NY 10504-1830
Phone
(914) 273-9280
Fax
(914) 273-5884
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 051741 NY Primary

Addresses

Primary practice location

40 Bedford Rd
Armonk, NY 10504-1830

Mailing address

91 Mitchell Rd
Somers, NY 10589-1801
Phone (914) 617-8080

Other identifiers 1

IdentifierTypeStateIssuer
02882442MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813000161 NY Order and Referring Only - DentistPractitioner - Dentist 4183951262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051741NYMDProsthodontist

Interoperability endpoints

  • Direct secure messaging: ashirakura130635@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1225136195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MITCHELL RD",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891801",
            "telephone_number": "914-617-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEDFORD RD",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041830",
            "telephone_number": "914-273-9280",
            "fax_number": "914-273-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAKURA",
        "first_name": "AKIHIKO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "051741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02882442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Armonk, NY

Sources for this page

Verify at the official NPI Registry.