Individual provider Active NPI

Kent T. Hiura, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1487988895
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DF033469 Issued in CA
Practice address
595 N 1St St
Ste B
San Jose, CA 95112-5326
Phone
(408) 279-2992
Fax
(408) 279-0203
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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 DF033469 CA Primary

Addresses

Primary practice location

595 N 1St St
Ste B
San Jose, CA 95112-5326

Mailing address

595 N 1St St
Ste B
San Jose, CA 95112-5326
Phone (408) 279-2992

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
DF033469CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1487988895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N 1ST ST",
            "address_2": "STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125326",
            "telephone_number": "408-279-2992",
            "fax_number": "408-279-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N 1ST ST",
            "address_2": "STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125326",
            "telephone_number": "408-279-2992",
            "fax_number": "408-279-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIURA",
        "first_name": "KENT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DF033469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.