NPIMap

Organization Active NPI

Kusakabe Professional Corporation

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1891948840
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2462 Issued in WA
Legal business name
KUSAKABE PROFESSIONAL CORPORATION
Practice address
1414 E Yesler Way
Seattle, WA 98122-5508
Phone
(206) 324-2232
Fax
(206) 324-6006
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. Peter Tsuyoshi Kusakabe, DMDNPI 1801842455
Title
President
Phone
(206) 324-2232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6050 WA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2462 WA Primary

Addresses

Primary practice location

1414 E Yesler Way
Seattle, WA 98122-5508

Mailing address

1414 E Yesler Way
Seattle, WA 98122-5508
Phone (206) 324-2232

Other identifiers 1

IdentifierTypeStateIssuer
5001813MedicaidWA

National Provider Directory

National Provider Directory

Locations

1414 E Yesler Way
Seattle, WA 98122
Phone (206) 324-2232

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1891948840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E YESLER WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225508",
            "telephone_number": "206-324-2232",
            "fax_number": "206-324-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E YESLER WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225508",
            "telephone_number": "206-324-2232",
            "fax_number": "206-324-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSAKABE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "KUSAKABE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TSUYOSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-324-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6050",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5001813",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.