MEDICARE: DR. KELLY SEKIKO KUNIYUKI-HIRAHARA 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	1223G0001X	General Practice Dentistry	DE00010329	WA
2	122300000X	Dentist	DE00010329	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780793653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY SEKIKO KUNIYUKI-HIRAHARA DDS

Provider Business Mailing Address
First Line	:	1500 FAIRVIEW AVE E
Second Line	:	SUITE 302
City	:	SEATTLE
State	:	WA
Zip	:	98102-3727
Country	:	US
Telephone Number	:	206-322-7706
Fax Number	:	206-329-5214

Provider Business Practice Location Address
First Line	:	1500 FAIRVIEW AVE E
Second Line	:	SUITE 302
City	:	SEATTLE
State	:	WA
Zip	:	98102-3727
Country	:	US
Telephone Number	:	206-322-7706
Fax Number	:	206-329-5214

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/30/2026

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