Bruce Takashi Hiura, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30826 Issued in CA

Practice address

2305 Van Ness Ave Ste E
San Francisco, CA 94109-1899

Phone

(415) 776-5855

Fax

(415) 776-4656

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: bhiura249663@direct-ucsfmedicalcenter.org

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1114940921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 VAN NESS AVE STE E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091899",
            "telephone_number": "415-776-5855",
            "fax_number": "415-776-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 VAN NESS AVE STE E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091899",
            "telephone_number": "415-776-5855",
            "fax_number": "415-776-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIURA",
        "first_name": "BRUCE",
        "middle_name": "TAKASHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30826",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "30826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Hisatake, M.D.
• Joseph Carlton Hitchcock, SLP
• Anna Elizabeth Hitron, PHARMD
• John Hitzfield, DDS
• Hiura OD Optometric Corporation
• Christopher J Hiura, O.D.
• Cynthia Hiura, RN
• Diane M Hiura, DDS
• Ronald Neal Hiura, O.D.
• John D Hixson, MD

• Periodontics in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.