Kenneth Y. Yamanaka D.D.S.,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21419 Issued in CA

Legal business name

KENNETH Y. YAMANAKA D.D.S.,INC.

Practice address

1941 Huntington Dr Ste D
South Pasadena, CA 91030-5601

Phone

(626) 799-4187

Fax

(626) 799-4540

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marilee Peterson Chappell, RDA

Title

Office Manager

Phone

(626) 799-4187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568677243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR STE D",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305601",
            "telephone_number": "626-799-4187",
            "fax_number": "626-799-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR STE D",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305601",
            "telephone_number": "626-799-4187",
            "fax_number": "626-799-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH Y. YAMANAKA D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_middle_name": "PETERSON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-799-4187",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Jae Kim, M.D.

• General Practice Dentistry in South Pasadena, CA
• Providers in South Pasadena, 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 Aug 22, 2020; 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.