Terry M. Imagawa, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29803 Issued in CA

Legal business name

TERRY M. IMAGAWA, D.D.S., INC.

Practice address

17122 Beach Blvd
Suite 201
Huntington Beach, CA 92647-5992

Phone

(714) 847-2569

NPI assigned

Jul 29, 2008

Last updated

Mar 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry Imagawa, D.D.S.NPI 1164687745

Title

President

Phone

(714) 847-2569

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Imagawa, D.D.S.

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1164687745
  Authorized official Same address or phone

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1558527671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17122 BEACH BLVD",
            "address_2": "SUITE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475992",
            "telephone_number": "714-847-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17122 BEACH BLVD",
            "address_2": "SUITE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475992",
            "telephone_number": "714-847-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY M. IMAGAWA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "IMAGAWA",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-847-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindi Tengan
• Lakesha L Tenner
• Kasumi Terada
• Deanna Teramoto, M.S., CCC-SLP
• Ellie Terhune
• Arnell Victoria Terry
• Kelly Thach
• Cathy Thi Thai
• Christine T Thai, M.D.
• Tiffany Thang

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.