Michitsuna Katafuchi, DDS, MSD, PH.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE 60662789 Issued in WA

Practice address

12911 120TH Ave NE Ste F240
Kirkland, WA 98034-3054

Phone

(425) 820-2414

NPI assigned

Jun 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Michitsuna Katafuchi, PLLC

  • Periodontics
  • Kirkland, WA
  • NPI 1275275786
  NPD Authorized official

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1962853655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 140TH PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074049",
            "telephone_number": "206-849-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE F240",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343054",
            "telephone_number": "425-820-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Union Ave Ste B5010",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051805",
            "country_code": "US",
            "telephone_number": "253-752-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATAFUCHI",
        "first_name": "MICHITSUNA",
        "credential": "DDS, MSD, PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE 60662789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keegan Kariuki
• Sarah Karmali, OTR/L
• Sucheta R Karoor, DPT
• Antonette Kanishka Karrthik, M.D.
• Linzy Karume
• Katherine M. McKinney DDS, PS.
• Katherine Martin, ND PLLC
• Katherine McKinney DDS PS
• Kathryn Ponto MD PLLC
• Arianna Katir

• Periodontics in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.