Organization Active NPI

Brian K. Takagi, M.D., P.L.L.C.

  • Ophthalmology Physician
  • Edmonds, WA
National Provider Identifier
1245569466
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD35675 Issued in WA
Legal business name
BRIAN K. TAKAGI, M.D., P.L.L.C.
Practice address
21906 76TH Ave W
Edmonds, WA 98026
Phone
(425) 774-2620
Fax
(425) 774-2607
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Brian K Takagi, M.D.
Title
Doctor/Owner
Phone
(425) 774-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD35675 WA Primary

Addresses

Primary practice location

21906 76TH Ave W
Edmonds, WA 98026

Mailing address

21906 76TH Ave W
Edmonds, WA 98026
Phone (425) 774-2620

National Provider Directory

National Provider Directory

Locations

21906 76th Ave W
Edmonds, WA 98026
Phone (425) 577-4262

21600 Highway 99
Ste 230
Edmonds, WA 98026
Phone (206) 215-4250

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1245569466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21906 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-774-2620",
            "fax_number": "425-774-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21906 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-774-2620",
            "fax_number": "425-774-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. TAKAGI, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "TAKAGI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "425-774-2620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD35675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.