Individual provider Active NPI

Kelly Sekiko Kuniyuki-Hirahara, DDS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1780793653
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010329 Issued in WA
Practice address
1500 Fairview Ave E
Suite 302
Seattle, WA 98102-3727
Phone
(206) 322-7706
Fax
(206) 329-5214
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00010329 WA Primary
Dentist 122300000X DE00010329 WA

Addresses

Primary practice location

1500 Fairview Ave E
Suite 302
Seattle, WA 98102-3727

Mailing address

1500 Fairview Ave E
Suite 302
Seattle, WA 98102-3727
Phone (206) 322-7706

Other practice location 1

17707 W Main St
Monroe, WA 98272-1967
Phone (360) 282-3900

Other identifiers 1

IdentifierTypeStateIssuer
1018945MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118002257 WA Order and Referring Only - DentistPractitioner - Dentist 9537448352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients
Lourdes M Acuesta DDS PS General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kkuniyukihirahara452762@direct.multicare.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1780793653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FAIRVIEW AVE E",
            "address_2": "SUITE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023727",
            "telephone_number": "206-322-7706",
            "fax_number": "206-329-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FAIRVIEW AVE E",
            "address_2": "SUITE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023727",
            "telephone_number": "206-322-7706",
            "fax_number": "206-329-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17707 W Main St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721967",
            "country_code": "US",
            "telephone_number": "360-282-3900",
            "fax_number": "360-282-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNIYUKI-HIRAHARA",
        "first_name": "KELLY",
        "middle_name": "SEKIKO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010329",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018945",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.