Active NPI
Kimberly Ann Sunahara, DDS
- Dentist
- Rancho Cordova, CA
National Provider Identifier
1336393644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57651
- Practice address
- 10943 Olson Dr
Rancho Cordova, CA 95670-5659 - Phone
- (916) 852-8212
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 57651 | CA | Primary |
Addresses
Primary practice location
10943 Olson Dr
Rancho Cordova, CA 95670-5659
Mailing address
10943 Olson Dr
Rancho Cordova, CA 95670-5659
Phone (916) 852-8212
Other practice location 1
734 Still Breeze Way
Sacramento, CA 95831-5544
Phone (916) 202-4127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715002487 | CA | Order and Referring Only - Dentist | 9739492059 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R. Beams DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Beams Dental Care
- General Practice Dentistry
- Rancho Cordova, CA
- NPI 1477898609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1336393644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10943 OLSON DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956705659",
"telephone_number": "916-852-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10943 OLSON DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956705659",
"telephone_number": "916-852-8212"
}
],
"practiceLocations": [
{
"address_1": "734 Still Breeze Way",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958315544",
"country_code": "US",
"telephone_number": "916-202-4127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUNAHARA",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
- Donald Arthur Stossmeister, R.EDT, CNIM
- Wu-Hsiung Su, M.D.
- Summerset Assisted Living LLC (Summerset Rancho Cordova Assisted Living)
- Summerset Assisted Living, LLC
- Summit Healthcare Billing LLC
- Sunrise Gold LLC (Sunridge LTC Pharmacy)
- Sunrise Health & Wellness Center, LLC
- Sunrise Surgical Institute
- Sunriver Senior Care LLC
- Sunset Dialysis LLC (Sunset Dialysis Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.