Organization Active NPI

Hirano Kanuga Dental Group

  • Pediatric Dentistry
  • Canyon Country, CA
National Provider Identifier
1255829370
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
57764 Issued in CA
Legal business name
HIRANO KANUGA DENTAL GROUP
Practice address
18580 Via Princessa Ste 3
Canyon Country, CA 91387-8329
Phone
(661) 388-0499
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Shukan Kanuga, DDS, MSD
Title
Partner
Phone
(310) 463-5027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 57764 CA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

18580 Via Princessa Ste 3
Canyon Country, CA 91387-8329

Mailing address

18580 Via Princessa Ste 3
Canyon Country, CA 91387-8329
Phone (661) 388-0499

Other identifiers 1

IdentifierTypeStateIssuer
1790975597MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1255829370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18580 VIA PRINCESSA STE 3",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913878329",
            "telephone_number": "661-388-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18580 VIA PRINCESSA STE 3",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913878329",
            "telephone_number": "661-388-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRANO KANUGA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "KANUGA",
        "authorized_official_first_name": "SHUKAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-463-5027",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57764",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790975597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.