DR. KEVIN RAY SUZUKI D.M.D.
NPI 1568783579
Dentist - Periodontics in Federal Way, WA

Q: What is Kevin Suzuki's NPI number?

The NPI number for Kevin Suzuki is 1568783579. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Kevin Suzuki's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Kevin Suzuki enrolled in Medicare?

No. Kevin Suzuki has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kevin Suzuki was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 14, 2010Opted out of Medicare · through Aug 1, 2028

2505 S 320TH ST, SUITE 330, FEDERAL WAY, WA 98003(206) 400-0800(253) 874-9068 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kevin Ray Suzuki D.m.d. NPPES

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

DR. KEVIN RAY SUZUKI D.M.D. (NPI 1568783579) is an individual periodontics provider in Federal Way, Washington, licensed in Washington (DE 60108665) and active in the NPI registry since June 2010. He has opted out of Medicare through August 1, 2028.

NPPES Registry Identity

NPI1568783579

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. KEVIN RAY SUZUKICredential: D.M.D.

Location Address2505 S 320TH ST, SUITE 330Federal Way, WA 98003-5400

Mailing Address13613 49th Avenue Ct NwGig Harbor, WA 98332-8014 · (484) 213-0380

Phone(206) 400-0800

Fax(253) 874-9068

Sole ProprietorNo

Enumeration DateJune 14, 2010

✔ NPI 1568783579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in WA · DE 60108665✔ Licensed in PA · DS038148✔ Licensed in FL · DN 18124

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2505 S 320TH ST, Federal Way, WA 98003

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kevin Ray Suzuki D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2016 through August 1, 2028.

Opt-Out Effective DateAugust 1, 2016

Opt-Out In Effect ThroughAugust 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

DR. YOSHINARI NAKAYAMA DDS

Dentist (Periodontics)

2505 S 320TH ST
FEDERAL WAY, WA 98003

King County (206) 400-0800

DR. THOMAS C. KANG DDS

Dentist (Periodontics)

2505 S 320TH ST, SUITE 330
FEDERAL WAY, WA 98003

King County (206) 400-0800

DR. KATIE H KIM DDS

Dentist (General Practice)

2505 S 320TH ST
FEDERAL WAY, WA 98003

King County (206) 400-0800

SHANG LUN LIU DMD

Dentist (Periodontics)

2505 S 320TH ST
FEDERAL WAY, WA 98003

King County (206) 400-0800

PAPER STREET PERIODONTICS & IMPLANT DENTRISTRY

Dentist (Periodontics)

2505 S 320TH ST, SUITE 330
FEDERAL WAY, WA 98003

King County (206) 400-0800

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 Kevin Suzuki's NPI number?

The NPI number for Kevin Suzuki is 1568783579. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Kevin Suzuki located?

Kevin Suzuki practices at 2505 S 320th St Suite 330, Federal Way, WA 98003. The listed phone number is (206) 400-0800.

What is Kevin Suzuki's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kevin Suzuki enrolled in Medicare?

No. Kevin Suzuki has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kevin Suzuki was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.