Individual provider Active NPI

Richard Y. Nomura, DDS

  • General Practice Dentistry
  • Burien, WA
National Provider Identifier
1780757724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00003487 Issued in WA
Practice address
322 SW 155TH St Ste B
Burien, WA 98166-2590
Phone
(206) 246-4660
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00003487 WA Primary

Addresses

Primary practice location

322 SW 155TH St Ste B
Burien, WA 98166-2590

Mailing address

322 SW 155TH St Ste B
Burien, WA 98166-2590
Phone (206) 246-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 29, 2015 through Oct 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780757724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 SW 155TH ST STE B",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662590",
            "telephone_number": "206-246-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SW 155TH ST STE B",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662590",
            "telephone_number": "206-246-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMURA",
        "first_name": "RICHARD",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00003487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.