Robert Sekijima, DDS, MS, PS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00005964 Issued in WA

Practice address

1620 Duvall Ave NE Ste B
Renton, WA 98059-3975

Phone

(425) 235-4830

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert K. Sekijima, DDS,Ms,PS

  • Dental Clinic/Center
  • Renton, WA
  • NPI 1366895823
  NPD (past) Authorized official
• Qing Wan DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Renton, WA
  • NPI 1174471932
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538259171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975",
            "telephone_number": "425-235-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKIJIMA",
        "first_name": "ROBERT",
        "credential": "DDS, MS, PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00005964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.