Active NPI
Trevor Tsuchikawa D.D.S. P.L.L.C.
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1508098641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60035945
- Legal business name
- TREVOR TSUCHIKAWA D.D.S. P.L.L.C.
- Practice address
- 12616 Renton Ave S Ste a
Seattle, WA 98178-3711 - Phone
- (206) 772-0163
- Fax
- (206) 772-7822
- NPI assigned
- Aug 21, 2009
- Last updated
- Aug 21, 2009
- 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
- Trevor Kenji Tsuchikawa, D.D.S.
- Title
- Owner/Dentist
- Phone
- (206) 852-6835
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60035945 | WA | Primary |
Addresses
Primary practice location
12616 Renton Ave S Ste a
Seattle, WA 98178-3711
Mailing address
12616 Renton Ave S Ste a
Seattle, WA 98178-3711
Phone (206) 772-0163
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Kent, WA
- NPI 1659527976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250812800000",
"number": "1508098641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12616 RENTON AVE S STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981783711",
"telephone_number": "206-772-0163",
"fax_number": "206-772-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12616 RENTON AVE S STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981783711",
"telephone_number": "206-772-0163",
"fax_number": "206-772-7822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREVOR TSUCHIKAWA D.D.S. P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-21",
"last_updated": "2009-08-21",
"status": "A",
"authorized_official_last_name": "TSUCHIKAWA",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "KENJI",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "206-852-6835",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60035945",
"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 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.