Hidemi Takezawa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047219 Issued in NY

Practice address

481 8TH Ave
Suite 725
New York, NY 10001-1809

Phone

(212) 967-0817

Fax

(212) 967-0817

NPI assigned

Feb 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1497029268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 8TH AVE",
            "address_2": "SUITE 725",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011809",
            "telephone_number": "212-967-0817",
            "fax_number": "212-967-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 8TH AVE",
            "address_2": "SUITE 725",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011809",
            "telephone_number": "212-967-0817",
            "fax_number": "212-967-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEZAWA",
        "first_name": "HIDEMI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-26",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047219",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02521300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Takematsu, MD
• Toshiki Takenouchi, M.D.
• Takeshige Medical PC
• Kumiko Takeshima Asiedu
• Kenichi Takeshita, M.D.
• Mary E Takhtovich, PHARM.D
• Sara Lorenz Taki I, M.D.
• Anna K Takos, DMD
• Jeffery Takos, MD
• Eric Takoushian, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.