Organization Active NPI

Trevor Tsuchikawa DDS III PS

  • Oral and Maxillofacial Surgery Clinic/Center
  • Shoreline, WA
National Provider Identifier
1720604580
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
TREVOR TSUCHIKAWA DDS III PS
Practice address
721 N 182ND St Ste 301
Shoreline, WA 98133-4400
Phone
(206) 542-4444
Fax
(206) 542-5335
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Dr. Trevor Kenj TsuchikawaNPI 1659527976
Title
Owner
Phone
(206) 852-6836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

721 N 182ND St Ste 301
Shoreline, WA 98133-4400

Mailing address

721 N 182ND St Ste 301
Shoreline, WA 98133-4400
Phone (206) 542-4444

National Provider Directory

National Provider Directory

Locations

721 N 182nd St
Ste 301
Shoreline, WA 98133
Phone (206) 542-4444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1720604580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N 182ND ST STE 301",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334400",
            "telephone_number": "206-542-4444",
            "fax_number": "206-542-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N 182ND ST STE 301",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334400",
            "telephone_number": "206-542-4444",
            "fax_number": "206-542-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR TSUCHIKAWA DDS III PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "TSUCHIKAWA",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "KENJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-852-6836",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.