Steven Ken Nakamura, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006327 Issued in WA

Practice address

1627 South Jackson Street
Seattle, WA 98144-2110

Phone

(206) 323-1333

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1508959115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 SOUTH JACKSON STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442110",
            "telephone_number": "206-323-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 SOUTH JACKSON STREET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442110",
            "telephone_number": "206-323-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "STEVEN",
        "middle_name": "KEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breyndon Kekoa Shigeo Nakamura, DPT
• Dana Y. Nakamura, OT
• Kellie Nakamura
• Kenta Nakamura, M.D.
• Rachel Riley Nakamura
• Ross Nakanishi
• Ayumi Nakano, PTA
• Ikuko Nakano, MSN, ARNP
• Rieko Nakano, LMP
• Sachiko Nakano, MAC LAC

• 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 Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.