G. Okamoto Dental Corporation

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

Organization subpart

No

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

Authorized official

Name

Geri Lynn Gunsalus Okamoto, DDS

Title

President

Phone

(626) 440-9095

Specialties & licenses 1

Addresses

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": []
}

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

• 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.