NPIMap

Organization Active NPI

Sagawa DDS PLLC

  • Dental Clinic/Center
  • Olympia, WA
National Provider Identifier
1952052045
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SAGAWA DDS PLLC
Practice address
911 5TH Ave SE Ste 101
Olympia, WA 98501-1505
Phone
(360) 352-9391
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Lezly Hartley
Title
Financial Coordinator/Bookkeeper
Phone
(360) 352-9391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

911 5TH Ave SE Ste 101
Olympia, WA 98501-1505

Mailing address

911 5TH Ave SE Ste 101
Olympia, WA 98501-1505
Phone (360) 352-9391

Other identifiers 1

IdentifierTypeStateIssuer
10899OtherWASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@drrosebailey.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

911 5th Ave SE
Ste 101
Olympia, WA 98501
Phone (360) 352-9391

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1952052045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 5TH AVE SE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011505",
            "telephone_number": "360-352-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 5TH AVE SE STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011505",
            "telephone_number": "360-352-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAWA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "LEZLY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR/BOOKKEEPER",
        "authorized_official_telephone_number": "360-352-9391"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10899",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@drrosebailey.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "911 5th Ave SE Ste 101",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985011505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.