Organization Active NPI

Matthew J. Teramura DMD Inc.

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1205266269
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52941 Issued in CA
Legal business name
MATTHEW J. TERAMURA DMD INC.
Practice address
4949 Stevenson Blvd Ste J
Fremont, CA 94538-2572
Phone
(510) 574-5330
NPI assigned
Nov 12, 2013
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Matthew J. Teramura, DMD
Title
President
Phone
(415) 215-5792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52941 CA Primary

Addresses

Primary practice location

4949 Stevenson Blvd Ste J
Fremont, CA 94538-2572

Mailing address

326 Via Rosario
Fremont, CA 94539-5322
Phone (415) 215-5792

National Provider Directory

National Provider Directory

Locations

4949 Stevenson Blvd
Ste J
Fremont, CA 94538
Phone (510) 574-5330

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1205266269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 VIA ROSARIO",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395322",
            "telephone_number": "415-215-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 STEVENSON BLVD STE J",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382572",
            "telephone_number": "510-574-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. TERAMURA DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "TERAMURA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-215-5792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.