Active NPI
Shoko Sato, DDS
- Periodontics
- Federal Way, WA
National Provider Identifier
1780142729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE60628832
- Practice address
- 2505 S 320TH St Ste 330
Federal Way, WA 98003-5461 - Phone
- (206) 400-0800
- Fax
- (253) 874-9068
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- 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 | DE60628832 | WA | Primary |
Addresses
Primary practice location
2505 S 320TH St Ste 330
Federal Way, WA 98003-5461
Mailing address
2505 S 320TH St Ste 330
Federal Way, WA 98003-5461
Phone (206) 400-0800
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 |
|---|---|---|---|
| DE60628832 | WA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1780142729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 S 320TH ST STE 330",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035461",
"telephone_number": "206-400-0800",
"fax_number": "253-874-9068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 S 320TH ST STE 330",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035461",
"telephone_number": "206-400-0800",
"fax_number": "253-874-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATO",
"first_name": "SHOKO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE60628832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.