Osamu Nakade, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009638 Issued in WA

Practice address

411 Strander Blvd
Suite 207
Tukwila, WA 98188-2924

Phone

(206) 575-8180

Fax

(206) 575-8483

NPI assigned

Oct 25, 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

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

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.

• Pan-Pacific Dentistry, P.C.

  • Dentist
  • Tukwila, WA
  • NPI 1548686165
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689758609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 207",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-575-8180",
            "fax_number": "206-575-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD",
            "address_2": "SUITE 207",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-575-8180",
            "fax_number": "206-575-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKADE",
        "first_name": "OSAMU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MVP Physical Therapy, Inc.
• Emma Mwaura
• Ruth M Mwawasi, RN
• Kelly Myers
• Svetlana Nagornyuk
• Namique Creations
• Karma Nashed
• Malini Nayak
• Alvin Nayan, MD
• Meluleki Ncube

• Dentist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Dentist 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.
• 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.