NPIMap

Organization Active NPI

Robert K. Sekijima, DDS,Ms,PS

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1366895823
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00005964 Issued in WA
Legal business name
ROBERT K. SEKIJIMA, DDS,MS,PS
Practice address
1620 Duvall Ave NE Ste B
Renton, WA 98059-3975
Phone
(425) 235-4830
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Robert Sekijima, DDSNPI 1538259171
Title
President
Phone
(425) 235-4830

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
Dental Clinic/Center 261QD0000X DE00005964 WA Primary

Addresses

Primary practice location

1620 Duvall Ave NE Ste B
Renton, WA 98059-3975

Mailing address

1620 Duvall Ave NE Ste B
Renton, WA 98059-3975

National Provider Directory

National Provider Directory

Locations

1620 Duvall Ave NE
Ste B
Renton, WA 98059
Phone (425) 235-4830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1366895823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975",
            "telephone_number": "425-235-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K. SEKIJIMA, DDS,MS,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "SEKIJIMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-235-4830",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00005964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.