Individual provider Active NPI

Patricia Ann Shigihara, DDS,PS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1962537845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5910 Issued in WA
Practice address
9400 Roosevelt Way NE Ste 100
Seattle, WA 98115-2847
Phone
(206) 362-1121
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 5910 WA Primary

Addresses

Primary practice location

9400 Roosevelt Way NE Ste 100
Seattle, WA 98115-2847

Mailing address

9400 Roosevelt Way NE Ste 100
Seattle, WA 98115-2847
Phone (206) 362-1121

Other identifiers 1

IdentifierTypeStateIssuer
831209OtherWAUNITED CONCORDIA INS.

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
5910WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a Shigihara, DDS, PS Past 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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962537845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 ROOSEVELT WAY NE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152847",
            "telephone_number": "206-362-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 ROOSEVELT WAY NE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152847",
            "telephone_number": "206-362-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGIHARA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS,PS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS.",
            "identifier": "831209",
            "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 Jul 8, 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.