Individual provider Active NPI

Michael Alan Nakamura, DDS

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1881802015
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04808 Issued in CO
Practice address
7913 Allison Way
Suite 202
Arvada, CO 80005-5032
Phone
(303) 425-4253
Fax
(303) 425-4414
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 04808 CO Primary

Addresses

Primary practice location

7913 Allison Way
Suite 202
Arvada, CO 80005-5032

Mailing address

7913 Allison Way
Suite 202
Arvada, CO 80005-5032
Phone (303) 425-4253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160108001986 CO Order and Referring Only - DentistPractitioner - Dentist 9739481615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04808COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1881802015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY",
            "address_2": "SUITE 202",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055032",
            "telephone_number": "303-425-4253",
            "fax_number": "303-425-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY",
            "address_2": "SUITE 202",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055032",
            "telephone_number": "303-425-4253",
            "fax_number": "303-425-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "04808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.