Organization Active NPI

Michael K. Furumoto DDS, Inc

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1316482169
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28316 Issued in CA
Legal business name
MICHAEL K. FURUMOTO DDS, INC
Practice address
21308 Pathfinder Rd
Ste 111
Diamond Bar, CA 91765
Phone
(909) 861-3515
Fax
(909) 861-2795
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Dr. Michael K. Furumoto, D.D.S.NPI 1710049770
Title
President
Phone
(909) 861-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28316 CA Primary

Addresses

Primary practice location

21308 Pathfinder Rd
Ste 111
Diamond Bar, CA 91765

Mailing address

21308 Pathfinder Rd
Ste 111
Diamond Bar, CA 91765
Phone (909) 861-3515

National Provider Directory

National Provider Directory

Locations

21308 Pathfinder Rd
Ste 111
Diamond Bar, CA 91765
Phone (909) 861-3515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1316482169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21308 PATHFINDER RD",
            "address_2": "STE 111",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-861-3515",
            "fax_number": "909-861-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21308 PATHFINDER RD",
            "address_2": "STE 111",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-861-3515",
            "fax_number": "909-861-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. FURUMOTO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "FURUMOTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-861-3515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.