Juliana Sarah Kodama, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

61560543 Issued in WA

Practice address

11800 NE 128TH St Ste 520
Kirkland, WA 98034-7296

Phone

(425) 820-0500

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teresa K Yagi DDS PLLC

  • General Practice Dentistry
  • Kirkland, WA
  • NPI 1720449804
  NPD (past)

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1720826845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 39TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157443",
            "telephone_number": "206-550-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 NE 128TH ST STE 520",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347296",
            "telephone_number": "425-820-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODAMA",
        "first_name": "JULIANA",
        "middle_name": "SARAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61560543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex John Knutson, MD
• James Alan Knutson, M.D.
• Catherine Marie Kocarek, MD
• Angelika Theresia Koch-Leibmann, MD
• John F Koch, M.A., LMHC
• Ellen Koebel, PT
• Krista Koeplin, RN
• Sonam Chodon Koga, LMT
• Michele Myers Koger, BA, MA
• Kristen L Kohler, LMP

• Dentist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.