NPIMap

Organization Active NPI

Vicki E. Okamoto, D.D.S., M.S., Inc.

Doing business as Okamoto Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Costa Mesa, CA
National Provider Identifier
1376761460
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
41503 Issued in CA
Legal business name
VICKI E. OKAMOTO, D.D.S., M.S., INC.
Doing business as
Okamoto Orthodontics
Practice address
1530 Baker St
Suite C
Costa Mesa, CA 92626-3752
Phone
(714) 546-5170
Fax
(714) 546-9411
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Dr. Vicki E. Okamoto, D.D.S., M.S.NPI 1134215650
Title
President
Phone
(714) 546-5170

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 41503 CA Primary

Addresses

Primary practice location

1530 Baker St
Suite C
Costa Mesa, CA 92626-3752

Mailing address

1530 Baker St
Suite C
Costa Mesa, CA 92626-3752
Phone (714) 546-5170

Other names 1

  • Okamoto Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1530 Baker St
Ste C
Costa Mesa, CA 92626
Phone (714) 546-5170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1376761460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BAKER ST",
            "address_2": "SUITE C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263752",
            "telephone_number": "714-546-5170",
            "fax_number": "714-546-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BAKER ST",
            "address_2": "SUITE C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263752",
            "telephone_number": "714-546-5170",
            "fax_number": "714-546-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI E. OKAMOTO, D.D.S., M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "OKAMOTO",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-546-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okamoto Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.