Individual provider Active NPI

Masaki Sakamoto

  • Dentist
  • Seattle, WA
National Provider Identifier
1306408091
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60977067 Issued in WA
Practice address
10212 5TH Ave NE Ste 268
Seattle, WA 98125-7495
Phone
(206) 527-5111
Fax
(206) 527-1013
NPI assigned
Jul 2, 2019
Reactivated
Aug 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24413 FL
Dentist 122300000X DE60977067 WA Primary

Addresses

Primary practice location

10212 5TH Ave NE Ste 268
Seattle, WA 98125-7495

Mailing address

10212 5TH Ave NE Ste 268
Seattle, WA 98125-7495
Phone (206) 527-5111

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
DN24413FLMDDentist
DE60977067WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Andy Hsu DMD PLLC PastSince Aug 23, 2020 Accepting new patients
Kidzone Dentistry PA Dentist Past Accepting new patients
H Dental Group LLC Dentist PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1306408091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 268",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257495",
            "telephone_number": "206-527-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 268",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257495",
            "telephone_number": "206-527-5111",
            "fax_number": "206-527-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "MASAKI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "deactivation_date": "2019-09-07",
        "reactivation_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24413",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60977067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.