Individual provider Active NPI

Jayna Sekijima, DDS

  • Dentist
  • Shoreline, WA
National Provider Identifier
1861830168
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60485868 Issued in WA
Practice address
701 N 182ND St
#102
Shoreline, WA 98133-4430
Phone
(206) 542-7600
NPI assigned
Jun 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60485868 WA Primary

Addresses

Primary practice location

701 N 182ND St
#102
Shoreline, WA 98133-4430

Mailing address

16028 28TH Ave NE
Shoreline, WA 98155-6413
Phone (425) 466-8952

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

LicenseStateTypeSpecialty
DE60485868WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jayna Sekijima, DDS, PLLC PastSince Feb 9, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1861830168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16028 28TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556413",
            "telephone_number": "425-466-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 182ND ST",
            "address_2": "#102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334430",
            "telephone_number": "206-542-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKIJIMA",
        "first_name": "JAYNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60485868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.