MEDICARE: DR. HIROYUKI KAWASHIMA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS028864L	PA
2	122300000X	Dentist	047483-1	NY
3	122300000X	Dentist	22DI018877500	NJ

General Provider Information

NPI Number	:	1245624584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIROYUKI KAWASHIMA DDS

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR BLDG 7500
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-5537
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR BLDG 7500
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:	719-526-5537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	02/03/2026

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