Individual provider Active NPI

Matthew Kaichi Oki, D.M.D.

  • Dentist
  • West Sacramento, CA
National Provider Identifier
1124917463
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111766 Issued in CA
Practice address
2455 Jefferson Blvd Ste 130
West Sacramento, CA 95691-5328
Phone
(916) 372-8062
NPI assigned
Jul 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111766 CA Primary

Addresses

Primary practice location

2455 Jefferson Blvd Ste 130
West Sacramento, CA 95691-5328

Mailing address

2455 Jefferson Blvd Ste 130
West Sacramento, CA 95691-5328
Phone (916) 372-8062

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250905004509 CA Order and Referring Only - DentistPractitioner - Dentist 1850893009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111766CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Corporation of Amardeep Gill DDS PastSince Jul 9, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1124917463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD STE 130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915328",
            "telephone_number": "916-372-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 JEFFERSON BLVD STE 130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915328",
            "telephone_number": "916-372-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKI",
        "first_name": "MATTHEW",
        "middle_name": "KAICHI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.