Organization Active NPI

Kim Okamura DDS

  • Durable Medical Equipment & Medical Supplies
  • Seattle, WA
National Provider Identifier
1477906261
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6248 Issued in WA
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

Updated by the provider on Jul 18, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.