Jon Takeo Takara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE036116 Issued in CA

Practice address

1327 Crenshaw Blvd
Torrance, CA 90501-2432

Phone

(310) 533-8265

Fax

(310) 533-5983

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265553895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040098",
            "telephone_number": "310-533-8265",
            "fax_number": "310-533-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012432",
            "telephone_number": "310-533-8265",
            "fax_number": "310-533-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKARA",
        "first_name": "JON",
        "middle_name": "TAKEO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DE036116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shereen Tajipour
• Ai Jennifer Takahashi, M.D.
• Aileen Miyoko Takahashi, MD
• Chinatsu Takahashi
• Lori Takaki
• Keely Takayama, PT, DPT
• Mark H Takemura, MD
• Risa Takeuchi
• Adam Talaat
• Samantha A Talavera

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, 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 Jul 8, 2007; 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.