Trevor Tsuchikawa D.D.S. P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60035945 Issued in WA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• 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.

Verify at the official NPI Registry.