TETSUYA SHIRASUKA DDS
NPI 1740307214
Dentist - General Practice in Des Moines, WA

Q: What is Tetsuya Shirasuka's NPI number?

The NPI number for Tetsuya Shirasuka is 1740307214. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Tetsuya Shirasuka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tetsuya Shirasuka was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 22, 2007PECOS Enrolled

22625 PACIFIC HWY S, DES MOINES, WA 98198(206) 878-5665(206) 870-1504 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tetsuya Shirasuka Dds NPPES

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

TETSUYA SHIRASUKA DDS (NPI 1740307214) is an individual general practice provider in Des Moines, Washington, licensed in California (59447) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740307214

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTETSUYA SHIRASUKACredential: DDS

Location Address22625 PACIFIC HWY SDes Moines, WA 98198-5110

Mailing Address22625 Pacific Hwy SDes Moines, WA 98198-5110 · (206) 878-5665 · Fax (206) 870-1504

Phone(206) 878-5665

Fax(206) 870-1504

Sole ProprietorNo

Enumeration DateMarch 22, 2007

Last NPPES UpdateAugust 25, 2017

✔ NPI 1740307214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 59447✔ Licensed in WA · DE00010449

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.

22625 PACIFIC HWY S, Des Moines, WA 98198

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tetsuya Shirasuka Dds 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 98198 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 6

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

KIANOOSH BEHSHID DDS

Dentist (General Practice)