Keith C. Harada, D.D.S., Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19430 Issued in CA

Legal business name

KEITH C. HARADA, D.D.S., INC.

Practice address

1717 W Beverly Blvd
Suite D
Montebello, CA 90640-3971

Phone

(323) 726-1544

Fax

(323) 726-3091

NPI assigned

Dec 6, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Chitose Harada, D.D.S.

Title

President

Phone

(323) 726-1544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437133063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W BEVERLY BLVD",
            "address_2": "SUITE D",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403971",
            "telephone_number": "323-726-1544",
            "fax_number": "323-726-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W BEVERLY BLVD",
            "address_2": "SUITE D",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403971",
            "telephone_number": "323-726-1544",
            "fax_number": "323-726-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C. HARADA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "CHITOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-726-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "19430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.