Organization Active NPI

G. Okamoto Dental Corporation

  • Dentist
  • Pasadena, CA
National Provider Identifier
1174875678
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44621 Issued in CA
Legal business name
G. OKAMOTO DENTAL CORPORATION
Practice address
50 Bellefontaine St Ste 204
Pasadena, CA 91105-3132
Phone
(626) 440-9095
Fax
(626) 440-9231
NPI assigned
Oct 8, 2012
Last updated
Oct 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Geri Lynn Gunsalus Okamoto, DDSNPI 1255317954
Title
President
Phone
(626) 440-9095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44621 CA Primary

Addresses

Primary practice location

50 Bellefontaine St Ste 204
Pasadena, CA 91105-3132

Mailing address

50 Bellefontaine St Ste 204
Pasadena, CA 91105-3132
Phone (626) 440-9095

National Provider Directory

National Provider Directory

Locations

50 Bellefontaine St
Ste 204
Pasadena, CA 91105
Phone (626) 440-9095

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1174875678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-440-9095",
            "fax_number": "626-440-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-440-9095",
            "fax_number": "626-440-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. OKAMOTO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "OKAMOTO",
        "authorized_official_first_name": "GERI LYNN",
        "authorized_official_middle_name": "GUNSALUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-440-9095",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.