Keith T Komatsu DDS Apc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

KEITH T KOMATSU DDS APC

Practice address

1921 S Catalina Ave Ste 3
Redondo Beach, CA 90277-5516

Phone

(310) 375-8012

Fax

(310) 375-6482

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Keith Taro Komatsu, DDSNPI 1366659104

Title

Owner

Phone

(310) 375-8012

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Taro Komatsu, D.D.S.

  • Endodontics
  • Redondo Beach, CA
  • NPI 1366659104
  NPD Authorized official
• Ellen Yukiko Hayashi, D.D.S.

  • Periodontics
  • Redondo Beach, CA
  • NPI 1841407772
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1548837198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S CATALINA AVE STE 3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775516",
            "telephone_number": "310-375-8012",
            "fax_number": "310-375-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S CATALINA AVE STE 3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775516",
            "telephone_number": "310-375-8012",
            "fax_number": "310-375-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH T KOMATSU DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KOMATSU",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "TARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-375-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Bennett Kayle
• Alicja Emilia Kazmierowska
• Lauren Keats
• Juli Faith Keene, CN
• Keith a. Marcus, MD Inc. (Marcus Facial Plastic Surgery)
• Kelli Rea Marriage & Family Therapy, Inc. (Mental Wealth Psychotherapy)
• Elizabeth Kennedy
• Andrew Kent, MA, CCC-SLP
• Alice Kerney
• Sabrina Canea Kerr, BS

• Endodontics in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.