Takayo Hatakeyama, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

042090 Issued in NY

Practice address

230 E 48TH St
Suite 1C
New York, NY 10017-1509

Phone

(212) 486-8670

Fax

(347) 427-2649

NPI assigned

Mar 30, 2009

Sex

Female

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1629210182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 48TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171509",
            "telephone_number": "212-486-8670",
            "fax_number": "347-427-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 48TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171509",
            "telephone_number": "212-486-8670",
            "fax_number": "347-427-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATAKEYAMA",
        "first_name": "TAKAYO",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "042090",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "13829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Maria Hastings, MA, MT-BC, NMT
• Nancy E Hastings, CASAC
• Rachel Lynn Hastings, PA-C
• Tira Harding Hastings, NP
• Dahlia Hatab, MHC LP
• Alireza Hatamifar, DDS
• Bernadette Audiencia Hatamosa
• Sharona Hatanian
• Miho Hatano, M.D.
• Amy Hovdestad Hatch, NNP

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.