Active NPI
David Zhu, DDS, MSD
- Periodontics
- Issaquah, WA
National Provider Identifier
1760802128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE60459232
- Practice address
- 1740 NW Maple St
Suite 110
Issaquah, WA 98027-8127 - Phone
- (425) 392-8992
- Fax
- (425) 392-0184
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE60459232 | WA | Primary |
Addresses
Primary practice location
1740 NW Maple St
Suite 110
Issaquah, WA 98027-8127
Mailing address
1740 NW Maple St
Suite 110
Issaquah, WA 98027-8127
Phone (425) 392-8992
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60459232 | WA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ken Akimoto DDS MSD PLLC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Periodontics
- Issaquah, WA
- NPI 1528310638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1760802128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST",
"address_2": "SUITE 110",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "425-392-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST",
"address_2": "SUITE 110",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "425-392-8992",
"fax_number": "425-392-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHU",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE60459232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.