Individual provider Active NPI

Terry T Ogura, D.D.S.

  • Dentist
  • Arcadia, CA
National Provider Identifier
1477624203
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42384 Issued in CA
Practice address
550 W Duarte Rd
Suite # 1
Arcadia, CA 91007-7331
Phone
(626) 447-8678
Fax
(626) 447-2553
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42384 CA Primary

Addresses

Primary practice location

550 W Duarte Rd
Suite # 1
Arcadia, CA 91007-7331

Mailing address

550 W Duarte Rd Ste 1
Arcadia, CA 91007-7361
Phone (626) 447-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1477624203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 1",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077361",
            "telephone_number": "626-447-8678",
            "fax_number": "626-447-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD",
            "address_2": "SUITE # 1",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077331",
            "telephone_number": "626-447-8678",
            "fax_number": "626-447-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGURA",
        "first_name": "TERRY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.