Individual provider Active NPI

Daryn Nishikawa, D.D.S

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1366843369
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60702 Issued in CA
Practice address
23560 Madison St
Suite 202
Torrance, CA 90505-4708
Phone
(310) 530-6444
NPI assigned
Sep 9, 2014
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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 60702 CA Primary

Addresses

Primary practice location

23560 Madison St
Suite 202
Torrance, CA 90505-4708

Mailing address

23560 Madison St
Suite 202
Torrance, CA 90505-4708
Phone (310) 530-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 1, 2019 through May 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60702CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard T. Nishikawa, D.D.S., Inc. General Practice Past Accepting new patients
F B Parker DDS Inc PastSince Oct 25, 2016 Accepting new patients
Nishikawa Dental Corp PastSince Oct 23, 2022 Accepting new patients
Daryn T. Nishikawa, D.D.S., Inc Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1366843369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054708",
            "telephone_number": "310-530-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054708",
            "telephone_number": "310-530-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIKAWA",
        "first_name": "DARYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.