Active NPI
Kyle Rikio Takahashi, DDS
- General Practice Dentistry
- Pleasanton, CA
National Provider Identifier
1265183149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 106544
- Practice address
- 4455 Stoneridge Dr
Pleasanton, CA 94588-8325 - Phone
- (925) 931-9100
- NPI assigned
- Jan 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 106544 | CA | Primary |
Addresses
Primary practice location
4455 Stoneridge Dr
Pleasanton, CA 94588-8325
Mailing address
4455 Stoneridge Dr
Pleasanton, CA 94588-8325
Phone (925) 931-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106544 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1265183149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 STONERIDGE DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888325",
"telephone_number": "925-931-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 STONERIDGE DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888325",
"telephone_number": "925-931-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAHASHI",
"first_name": "KYLE",
"middle_name": "RIKIO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "106544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.