1801420765 NPI number — DR. KAZUMA KITAGAITO DMD, MSE, MSD

Table of content: DR. KAZUMA KITAGAITO DMD, MSE, MSD (NPI 1801420765)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801420765 NPI number — DR. KAZUMA KITAGAITO DMD, MSE, MSD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KITAGAITO
Provider First Name:
KAZUMA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD, MSE, MSD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801420765
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13110 NE 85TH ST STE 106-B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KIRKLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98033-8002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-300-6399
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13110 NE 85TH ST STE 106-B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KIRKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98033-8002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-300-6399
Provider Business Practice Location Address Fax Number:
425-300-6398
Provider Enumeration Date:
02/28/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  DE61009484 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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