Active NPI
Stephen M Hiroshige, D.D.S.
- General Practice Dentistry
- Gardena, CA
National Provider Identifier
1346459237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40246
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40246 | CA | MD | General 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.