Paul K. Takemoto, D.D.S., Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

35455 Issued in CA

Legal business name

PAUL K. TAKEMOTO, D.D.S., PROFESSIONAL CORPORATION

Practice address

144 W Los Angeles Ave
Moorpark, CA 93021-1898

Phone

(805) 553-1980

Fax

(805) 553-1981

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul K. Takemoto, DDS

Title

President

Phone

(805) 553-1980

Specialties & licenses 1

Addresses

Other names 1

• Moorpark Smiles Dental Group Doing business as

Locations

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1104193473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211898",
            "telephone_number": "805-553-1980",
            "fax_number": "805-553-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211898",
            "telephone_number": "805-553-1980",
            "fax_number": "805-553-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL K. TAKEMOTO, D.D.S., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "TAKEMOTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-553-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorpark Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Performance Physical Therapy

• Dentist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.