NPIMap

Organization Active NPI

Theodore M Fujioka, DMD, PS

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1255346649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3804 Issued in WA
Legal business name
THEODORE M FUJIOKA, DMD, PS
Practice address
215 NW 78TH St
Vancouver, WA 98665-7972
Phone
(360) 696-4439
Fax
(360) 696-4455
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Theodore Masaru Fujioka, DMDNPI 1346255734
Title
President
Phone
(360) 696-4439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3804 WA Primary

Addresses

Primary practice location

215 NW 78TH St
Vancouver, WA 98665-7972

Mailing address

215 NW 78TH St
Vancouver, WA 98665-7972
Phone (360) 696-4439

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255346649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NW 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657972",
            "telephone_number": "360-696-4439",
            "fax_number": "360-696-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NW 78TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657972",
            "telephone_number": "360-696-4439",
            "fax_number": "360-696-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE M FUJIOKA, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUJIOKA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "MASARU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-696-4439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.