Jeffrey Keiichi Kubo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

53234 Issued in CA

Practice address

1607 Cravens Ave
Torrance, CA 90501-3203

Phone

(310) 782-2008

NPI assigned

Jun 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chesley R Houske Jr , DDS, Inc

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1376609669
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1407084957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 CRAVENS AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013203",
            "telephone_number": "310-782-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CRAVENS AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013203",
            "telephone_number": "310-782-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBO",
        "first_name": "JEFFREY",
        "middle_name": "KEIICHI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ku, BCBA
• Chian-Ian Kuan-Nickel, MSW
• Christopher Kubasik, AMFT
• Kube Services LLC.
• Atom Kubo
• Kaley Kubokawa, OTR/L
• Joan Michiyo Kuboshige, FNP
• Robin Kucharik, FNP
• Joseph M Kuderko, MD
• Akira Kugaya, M.D.

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.