TETSUYA SHIRASUKA (NPI# 1740307214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740307214 |
| Entity Type | Individual |
| Full Name | TETSUYA SHIRASUKA |
| Credential | DDS |
| Practice Address |
22625 Pacific Hwy S Des Moines WA 98198-5110 |
| Practice Telephone | 2068785665 |
| Practice Fax Number | 2068701504 |
| Mailing Telephone | 2068785665 |
| Mailing Fax Number | 2068701504 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2017-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
59447 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE00010449 | WA | Dental Providers |
| Street Address |
22625 PACIFIC HWY S |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922125483 | Tina N Hoang | Dentist | 22625 Pacific Hwy S, Des Moines, WA 98198-5110 | 2007-03-22 |
| 1922542521 | Quan Anh Hoang | Dentist | 22625 Pacific Hwy S, Des Moines, WA 98198-5110 | 2016-12-15 |
| 1316179641 | Nha-tran D. Tran | Dentist | 22625 Pacific Hwy S, Des Moines, WA 98198-5110 | 2009-08-20 |
| 1225295009 | Mamatha Chenepalli | Dentist | 22625 Pacific Hwy S, Des Moines, WA 98198-5110 | 2008-05-20 |
| 1639393309 | Abc Dentistry | Preferred Provider Organization | 22625 Pacific Hwy S, Des Moines, WA 98198-5110 | 2007-04-12 |
| 1053438523 | Kianoosh Behshid | Dentist | 22625 Pacific Hwy S, Des Moines, WA 98198-5110 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901203 | Anisha Cheruvillil | Dentist | 1200 University Ave Ste 100, Des Moines, IA 50314-2355 | 2018-08-09 |
| 1811474927 | Downtown Smiles | Dentist | 505 5th Ave Ste 939, Des Moines, IA 50309-2316 | 2018-07-20 |
| 1659801546 | Hayley Ann Faley | Dentist | 6150 Se 14th St Ste B, Des Moines, IA 50320-1719 | 2017-06-14 |
| 1174063010 | Waveland Family Dental | Dentist | 4232 University Ave, Des Moines, IA 50311-3422 | 2017-02-25 |
| 1720522360 | Cheng Shao Anwar Pllc | Dentist | 27041 Pacific Hwy S, Des Moines, WA 98198-9250 | 2016-12-16 |
| 1811367972 | Jason Sinhee Hong | Dentist | 4730 Sw 9th St, Des Moines, IA 50315-3973 | 2015-10-01 |
| 1649651795 | Laura Wilmes Brown | Dentist | 5921 Se 14th St Ste 1500, Des Moines, IA 50320-1760 | 2015-06-15 |
| 1114337276 | Walid Abdel Fatah, Dds, PC | Dentist | 3737 Merle Hay Rd, Des Moines, IA 50310-1239 | 2014-04-29 |
| 1962708743 | Poojitha Chandrasekhar | Dentist | 4930 Se 14th St, Des Moines, IA 50320-1604 | 2011-01-27 |
| 1407006752 | Paula Ann Stepp | Dentist | 22506 Marine View Dr. S Unit 101, Des Moines, WA 98198 | 2008-09-23 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.