Scott Sunao Iwashita, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34122 Issued in CA

Practice address

1688 Willow St Ste D
San Jose, CA 95125-5109

Phone

(408) 295-4770

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1205015443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-295-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-295-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASHITA",
        "first_name": "SCOTT",
        "middle_name": "SUNAO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34122",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Louisana Iturriaga, D.D.S
• Judith Wolf Ivan, OTR
• Maria Pilar C Ivanov, MD
• Ac Ivery, DDS
• Jennifer Brooke Ivey, M.S.
• Iwill Til Imwell LLC
• Jaideep Jaiprakash Iyengar, MD
• Neal Iyengar, DDS
• Sanjana Raman Iyengar, EMT
• Lakshmi Narayanan Iyenger

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.