Individual provider Active NPI

Stephen M Hiroshige, D.D.S.

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1346459237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40246 Issued in CA
Practice address
1600 W Redondo Beach Blvd
Suite #306
Gardena, CA 90247-3226
Phone
(310) 323-2842
Fax
(310) 323-4383
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40246 CA Primary

Addresses

Primary practice location

1600 W Redondo Beach Blvd
Suite #306
Gardena, CA 90247-3226

Mailing address

9802 Garrett Cir
Huntington Beach, CA 92646-3638
Phone (714) 964-5164

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

LicenseStateTypeSpecialty
40246CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346459237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 GARRETT CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463638",
            "telephone_number": "714-964-5164",
            "fax_number": "310-323-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W REDONDO BEACH BLVD",
            "address_2": "SUITE #306",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473226",
            "telephone_number": "310-323-2842",
            "fax_number": "310-323-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIROSHIGE",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • 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.