S Dan Koyama DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

27444 Issued in CA

Legal business name

S DAN KOYAMA DDS INC

Practice address

5591 E Santa Ana Canyon Road
Anaheim, CA 92807-3149

Phone

(714) 974-4202

Fax

(714) 974-3448

NPI assigned

Jan 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shizuka Koyama, DDSNPI 1326227273

Title

President

Phone

(714) 974-4202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shizuka Koyama, DDS

  • Dentist
  • Anaheim, CA
  • NPI 1326227273
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144379421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17668",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928177668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5591 E SANTA ANA CANYON ROAD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073149",
            "telephone_number": "714-974-4202",
            "fax_number": "714-974-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S DAN KOYAMA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOYAMA",
        "authorized_official_first_name": "SHIZUKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-974-4202",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan S. Hong, DDS, Inc.
• Justina Ryan-Baldwin
• Jacqueline F Ryan, LCSW
• Kathleen M Ryan, CRNA
• Natasha Ryan
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• S&O Care Servicedba Heart to Heart Caregivers (Heart to Heart Caregivers)
• Beshoy Ibrahim Gerges I Saad, PHARM.D.
• Morsal Saadat
• Alexandria Dominique Saati, AMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.