Active NPI
Trevor Kenji Tsuchikawa, D.D.S
- Dentist
- Kent, WA
National Provider Identifier
1659527976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60035945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60035945 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tsuchistein Dental Care Inc | Current | Accepting new patients | |
| Trevor Tsuchikawa DDS III PS | Past | Accepting new patients | |
| Trevor Tsuchikawa IV PLLC | Past | 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.
-
- Dental Clinic/Center
- Redding, CA
- NPI 1689321119
-
- Oral and Maxillofacial Surgery Clinic/Center
- Shoreline, WA
- NPI 1720604580
-
- Dental Clinic/Center
- Arlington, WA
- NPI 1891467767
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.