Active NPI
Christopher Shin Sugamura, D.D.S.
- Dentist
- Bellevue, WA
National Provider Identifier
1326153024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00006500
- Practice address
- 35 100TH Ave NE
Bellevue, WA 98004-5629 - Phone
- (425) 454-8082
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00006500 | WA | Primary |
Addresses
Primary practice location
35 100TH Ave NE
Bellevue, WA 98004-5629
Mailing address
13033 NE Bel Red Rd Ste 220
Bellevue, WA 98005-2633
Phone (425) 454-8082
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00006500 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sugamura&Rice PLLC | Current | Accepting new patients |
Locations
13033 NE Bel Red Rd
Ste 220
Bellevue, WA 98005
Phone (425) 276-0737
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1326153024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13033 NE BEL RED RD STE 220",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052633",
"telephone_number": "425-454-8082",
"fax_number": "425-453-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 100TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980045629",
"telephone_number": "425-454-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGAMURA",
"first_name": "CHRISTOPHER",
"middle_name": "SHIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00006500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.