Mark Takeda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101863 Issued in CA

Practice address

1394 E Alluvial Ave Ste 104
Fresno, CA 93720-2696

Phone

(559) 226-7464

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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

• Lindsay S Takeda DDS Inc

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1609403500
  NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1265894794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 E ALLUVIAL AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202696",
            "telephone_number": "559-226-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 E ALLUVIAL AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202696",
            "telephone_number": "559-226-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEDA",
        "first_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Takashima
• Norio Takayama, MD
• Alyssa Takeda, DDS
• Lauren Kato Takeda, PHARMD
• Lindsay S. Takeda, DDS
• Nicole Kimiko Takeda, M.D.
• Lucy Kalayjian Takelian
• Curtis Takemoto, PHARMD
• Denae W Takemoto, LMFT
• Jody K Takemoto, PHD, MED, RADT-I

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 Oct 31, 2024; 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.