Individual provider Active NPI

Karen Debra Sakuma, D.D.S.

  • General Practice Dentistry
  • Kirkland, WA
National Provider Identifier
1831285055
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005318 Issued in WA
Practice address
5525 Lakeview Dr
Kirkland, WA 98033-7314
Phone
(425) 827-0426
Fax
(425) 828-4638
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 DE00005318 WA Primary

Addresses

Primary practice location

5525 Lakeview Dr
Kirkland, WA 98033-7314

Mailing address

5525 Lakeview Dr
Kirkland, WA 98033-7314
Phone (425) 827-0426

Other identifiers 1

IdentifierTypeStateIssuer
5007224MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00005318WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Karen D. Sakuma,DDS Current Accepting new patients

Locations

5525 Lakeview Dr
Kirkland, WA 98033
Phone (425) 827-0426

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831285055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 LAKEVIEW DR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337314",
            "telephone_number": "425-827-0426",
            "fax_number": "425-828-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 LAKEVIEW DR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337314",
            "telephone_number": "425-827-0426",
            "fax_number": "425-828-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKUMA",
        "first_name": "KAREN",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007224",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.