Active NPI
Akihiko Shirakura, D.D.S.
- Prosthodontics
- Armonk, NY
National Provider Identifier
1225136195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 051741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02882442 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190813000161 | NY | Order and Referring Only - Dentist | 4183951262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051741 | NY | MD | Prosthodontist |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.