Individual provider Active NPI

Alberto Noriyuki Kojima, DDS

  • Dentist
  • Orlando, FL
National Provider Identifier
1598593675
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29290 Issued in FL
Practice address
7932 W Sand Lake Rd
Orlando, FL 32819-7263
Phone
(407) 544-0777
NPI assigned
Jul 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29290 FL Primary

Addresses

Primary practice location

7932 W Sand Lake Rd
Orlando, FL 32819-7263

Mailing address

17820 Sharp Pummelo Aly
Winter Garden, FL 34787-6817
Phone (585) 267-9452

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
29290FLMDPhysical Therapist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1598593675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 SHARP PUMMELO ALY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876817",
            "telephone_number": "585-267-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-544-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJIMA",
        "first_name": "ALBERTO",
        "middle_name": "NORIYUKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "29290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.