Joshua Kusumo, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

65094 Issued in CA

Practice address

324 S Indian Hill Blvd
Claremont, CA 91711-5289

Phone

(909) 625-3600

NPI assigned

Sep 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Remona Dental Center Inc.

  • General Practice Dentistry
  • Claremont, CA
  • NPI 1013414200
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1144698341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115289",
            "telephone_number": "909-625-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115289",
            "telephone_number": "909-625-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSUMO",
        "first_name": "JOSHUA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ilanah Kohan, OD
• Thomas Christopher Kono-Flores, D.D.S.
• Jasmina Koprivica, OD
• Mary Kathleen Krater, M.A., CCC-SLP
• Ava Kung, DDS
• Mukesh Jayantilal Kuvadia, PA
• Labtech Inc
• Yen Ingrid Lai, MD
• Yong Lai, D.D.S
• Janet M Lake, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.