Individual provider Active NPI

Michelle Okamoto, D.D.S.

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1487082426
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62703 Issued in CA
Practice address
22330 Hawthorne Blvd
Suite E
Torrance, CA 90505-2536
Phone
(310) 373-1120
Fax
(310) 373-1113
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62703 CA Primary

Addresses

Primary practice location

22330 Hawthorne Blvd
Suite E
Torrance, CA 90505-2536

Mailing address

22330 Hawthorne Blvd
Suite E
Torrance, CA 90505-2536
Phone (310) 373-1120

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

State licenses

LicenseStateTypeSpecialty
62703CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven K Okamoto Past Accepting new patients
Steven K Okamoto DDS Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1487082426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 HAWTHORNE BLVD",
            "address_2": "SUITE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052536",
            "telephone_number": "310-373-1120",
            "fax_number": "310-373-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22330 HAWTHORNE BLVD",
            "address_2": "SUITE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052536",
            "telephone_number": "310-373-1120",
            "fax_number": "310-373-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.