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Organization Active NPI

Kawata and Matsumoto Specialists in Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corona, CA
National Provider Identifier
1013034446
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
032867 Issued in CA
Legal business name
KAWATA AND MATSUMOTO SPECIALISTS IN ORTHODONTICS
Practice address
854 Magnolia Ave
Suite a
Corona, CA 92879-3109
Phone
(951) 736-7846
Fax
(951) 736-7862
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Fengler
Title
Financial Coordinator
Phone
(951) 736-7846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 032867 CA Primary

Addresses

Primary practice location

854 Magnolia Ave
Suite a
Corona, CA 92879-3109

Mailing address

854 Magnolia Ave
Suite a
Corona, CA 92879-3109
Phone (951) 736-7846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1013034446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793109",
            "telephone_number": "951-736-7846",
            "fax_number": "951-736-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793109",
            "telephone_number": "951-736-7846",
            "fax_number": "951-736-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWATA AND MATSUMOTO SPECIALISTS IN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "FENGLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "951-736-7846"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "032867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.