Individual provider Active NPI

Howard M Nakamura, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Trabuco Canyon, CA
National Provider Identifier
1093847295
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
36181 Issued in CA
Practice address
21702 Plano Trabuco Rd
Suite a
Trabuco Canyon, CA 92679-3467
Phone
(949) 858-4626
Fax
(949) 858-2542
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 36181 CA Primary

Addresses

Primary practice location

21702 Plano Trabuco Rd
Suite a
Trabuco Canyon, CA 92679-3467

Mailing address

21702 Plano Trabuco Rd
Suite a
Trabuco Canyon, CA 92679-3467
Phone (949) 858-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
36181CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1093847295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21702 PLANO TRABUCO RD",
            "address_2": "SUITE A",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793467",
            "telephone_number": "949-858-4626",
            "fax_number": "949-858-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21702 PLANO TRABUCO RD",
            "address_2": "SUITE A",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793467",
            "telephone_number": "949-858-4626",
            "fax_number": "949-858-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "HOWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "36181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.