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DR. SAMUEL S. MINAGAWA D.D.S.
NPI 1083829600
Dentist - General Practice in Tukwila, WA

Active since May 14, 2007PECOS Enrolled
664 STRANDER BLVD, TUKWILA, WA 98188(425) 271-5177(425) 271-0420 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Dr. Samuel S. Minagawa D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL S. MINAGAWA D.D.S. (NPI 1083829600) is an individual general practice provider in Tukwila, Washington, licensed in Washington (DE00006842) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083829600
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL S. MINAGAWACredential: D.D.S.
Location Address664 STRANDER BLVDTukwila, WA 98188-2923
Mailing Address664 Strander BlvdTukwila, WA 98188-2923 · (425) 271-5177 · Fax (425) 271-0420
Phone(425) 271-5177
Fax(425) 271-0420
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083829600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00006842
Definition
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.
664 STRANDER BLVD, Tukwila, WA 98188
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel S. Minagawa D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIM C. TRAN DMD
Dentist
664 STRANDER BLVD
TUKWILA, WA 98188
King County (253) 219-0146
DANIEL J. LEE, DMD, PLLC
Clinic/Center (Dental)
664 STRANDER BLVD
TUKWILA, WA 98188
King County (281) 691-0603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Minagawa's NPI number?

The NPI number for Samuel Minagawa is 1083829600. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Samuel Minagawa located?

Samuel Minagawa practices at 664 Strander Blvd, Tukwila, WA 98188. The listed phone number is (425) 271-5177.

What is Samuel Minagawa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samuel Minagawa enrolled in Medicare?

Yes. Samuel Minagawa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Minagawa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.