Goichi Shiotsu DDS P S

Primary specialty

DentistTaxonomy code 122300000X

License

8994 Issued in WA

Legal business name

GOICHI SHIOTSU DDS P S

Doing business as

Goichi Shiotsu DDS P S

Practice address

2825 80TH Ave SE Ste 3
Mercer Island, WA 98040-2977

Phone

(206) 232-3600

Fax

(206) 275-3025

NPI assigned

Aug 11, 2016

Last updated

Aug 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Goichi Shiotsu, DDS P SNPI 1710073747

Title

President

Phone

(206) 232-3600

Specialties & licenses 2

Addresses

Other names 1

• GOICHI SHIOTSU DDS P S Doing business as

Locations

Practitioners 2

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.

• Goichi Shiotsu, DDS

  • Prosthodontics
  • Mercer Island, WA
  • NPI 1710073747
  NPD (past) Authorized official
• Ryan Tam, DDS

  • Dentist
  • Mercer Island, WA
  • NPI 1740807577
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1649724220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 80TH AVE SE STE 3",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402977",
            "telephone_number": "206-232-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 80TH AVE SE STE 3",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402977",
            "telephone_number": "206-232-3600",
            "fax_number": "206-275-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOICHI SHIOTSU DDS P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "SHIOTSU",
        "authorized_official_first_name": "GOICHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-232-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS P S"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "8994",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "8994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOICHI SHIOTSU DDS P S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith L. Gilbert, PH.D.
• Lee S. Glass, MD
• Lisa Ilana Glasser, MD
• Danette Swanson Glassy, MD
• Frances Gmur, M.D.
• Negar Golchin, PHARMD, MPH
• Robert C Goode, MD
• Sundeep Gopal
• Grace Mindcare PC
• Giselle Greisman, CN

• Dentist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.