NPIMap

Organization Active NPI

Hideki Ikeda D.D.S., M.S., Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garden Grove, CA
National Provider Identifier
1205114501
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
58404 Issued in CA
Legal business name
HIDEKI IKEDA D.D.S., M.S., DENTAL CORPORATION
Practice address
12777 Valley View St..
Suite 222
Garden Grove, CA 92845
Phone
(714) 893-7539
Fax
(714) 893-6736
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Hideki Ikeda, D.D.S.NPI 1205159498
Title
Dentist
Phone
(714) 893-7539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 58404 CA Primary

Addresses

Primary practice location

12777 Valley View St..
Suite 222
Garden Grove, CA 92845

Mailing address

12777 Valley View St..
Suite 222
Garden Grove, CA 92845
Phone (714) 893-7539

National Provider Directory

National Provider Directory

Locations

12777 Valley View St
Ste 222
Garden Grove, CA 92845
Phone (714) 893-7539

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1205114501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST..",
            "address_2": "SUITE 222",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-893-7539",
            "fax_number": "714-893-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST..",
            "address_2": "SUITE 222",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-893-7539",
            "fax_number": "714-893-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDEKI IKEDA D.D.S., M.S., DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "IKEDA",
        "authorized_official_first_name": "HIDEKI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-893-7539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.