Active NPI
Ned Kazuo Nakatsuka, D.D.S.
- General Practice Dentistry
- Aliso Viejo, CA
National Provider Identifier
1396846804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38207
- Practice address
- 27792 Aliso Creek Road
B-170
Aliso Viejo, CA 92656 - Phone
- (949) 360-1213
- Fax
- (949) 360-7266
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38207 | CA | Primary |
Addresses
Primary practice location
27792 Aliso Creek Road
B-170
Aliso Viejo, CA 92656
Mailing address
27792 Aliso Creek Road
B-170
Aliso Viejo, CA 92656
Phone (949) 360-1213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 971555 | Other | CA | UNITED CONCORDIA PROVIDER |
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
- Opted out of Medicare
- Yes, effective Feb 22, 2017 through Feb 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38207 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aliso Woods Dental | General Practice | 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.
-
- General Practice Dentistry
- Aliso Viejo, CA
- NPI 1811098213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396846804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27792 ALISO CREEK ROAD",
"address_2": "B-170",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "92656",
"telephone_number": "949-360-1213",
"fax_number": "949-360-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27792 ALISO CREEK ROAD",
"address_2": "B-170",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "92656",
"telephone_number": "949-360-1213",
"fax_number": "949-360-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKATSUKA",
"first_name": "NED",
"middle_name": "KAZUO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "971555",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.