Active NPI
Kim Okamura DDS
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
National Provider Identifier
1477906261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 6248
- Legal business name
- KIM OKAMURA DDS
- Practice address
- 11730 15TH Ave NE
Seattle, WA 98125-5026 - Phone
- (206) 362-3200
- NPI assigned
- Jul 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Sue Okamura, DDS
- Title
- Owner
- Phone
- (206) 362-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6248 | WA | Primary |
Addresses
Primary practice location
11730 15TH Ave NE
Seattle, WA 98125-5026
Mailing address
11730 15TH Ave NE
Seattle, WA 98125-5026
Phone (206) 362-3200
National Provider Directory
National Provider DirectoryLocations
11730 15th Ave NE
Seattle, WA 98125
Phone (206) 362-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468800000000",
"number": "1477906261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11730 15TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255026",
"telephone_number": "206-362-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11730 15TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255026",
"telephone_number": "206-362-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM OKAMURA DDS",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A",
"authorized_official_last_name": "OKAMURA",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-362-3200",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "6248",
"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 Jul 18, 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.