Individual provider Active NPI

Trevor Kenji Tsuchikawa, D.D.S

  • Dentist
  • Kent, WA
National Provider Identifier
1659527976
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60035945 Issued in WA
Practice address
302 Washington Ave S
Kent, WA 98032-5713
Phone
(206) 852-6835
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60035945 WA Primary

Addresses

Primary practice location

302 Washington Ave S
Kent, WA 98032-5713

Mailing address

431 E Ward St
Kent, WA 98030-4537
Phone (206) 852-6836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60035945WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tsuchistein Dental Care Inc Current Accepting new patients
Trevor Tsuchikawa DDS III PS PastSince Jun 21, 2020 Accepting new patients
Trevor Tsuchikawa IV PLLC PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1659527976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-852-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325713",
            "telephone_number": "206-852-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUCHIKAWA",
        "first_name": "TREVOR",
        "middle_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60035945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.