Kazuya Uyesugi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33866 Issued in CA

Practice address

974 Willow St
San Jose, CA 95125-2344

Phone

(408) 279-4337

Fax

(408) 279-4555

NPI assigned

Sep 20, 2006

Last updated

Sep 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaz Uyesugi DDS Inc

  • Dentist
  • San Jose, CA
  • NPI 1003296443
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1255438354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252344",
            "telephone_number": "408-279-4337",
            "fax_number": "408-279-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252344",
            "telephone_number": "408-279-4337",
            "fax_number": "408-279-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYESUGI",
        "first_name": "KAZUYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID USED FOR OTHER INS",
            "identifier": "770131080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "970422",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "000033866",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alec Joseph Uy, M.D.
• Amanda Uyehara, DDS
• Clinton Uyehara, DDS
• Uyen Thai (Downtown Pharmacy)
• Keith Isamu Uyeno, DO
• V Liane Rice OD a Professional Corp (V. Liane Rice, APC)
• VA
• VA
• VA Palo Alto Healthcare System
• Mireya Vaamonde, H.R.

• 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 Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.