Provider Demographics
NPI:1225136195
Name:SHIRAKURA, AKIHIKO (DDS)
Entity Type:Individual
Prefix:DR
First Name:AKIHIKO
Middle Name:
Last Name:SHIRAKURA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 MITCHELL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-1801
Mailing Address - Country:US
Mailing Address - Phone:914-617-8080
Mailing Address - Fax:
Practice Address - Street 1:40 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-1830
Practice Address - Country:US
Practice Address - Phone:914-273-9280
Practice Address - Fax:914-273-5884
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0517411223P0700X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02882442Medicaid