Individual provider Active NPI

Hidemi Oka, DMD MD MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Union City, CA
National Provider Identifier
1629260369
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
70-OMS Issued in CA
Practice address
33800 Alvarado Niles Road
#4
Union City, CA 94587
Phone
(510) 487-2040
Fax
(510) 471-9156
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X A91565 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 70-OMS CA Primary

Addresses

Primary practice location

33800 Alvarado Niles Road
#4
Union City, CA 94587

Mailing address

33800 Alvarado Niles Road
#4
Union City, CA 94587
Phone (510) 487-2040

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
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A91565CAMDDentist
70-OMSCAMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: hoka19988@smch.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1629260369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33800 ALVARADO NILES ROAD",
            "address_2": "#4",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "94587",
            "telephone_number": "510-487-2040",
            "fax_number": "510-471-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33800 ALVARADO NILES ROAD",
            "address_2": "#4",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "94587",
            "telephone_number": "510-487-2040",
            "fax_number": "510-471-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKA",
        "first_name": "HIDEMI",
        "name_prefix": "Dr.",
        "credential": "DMD MD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "A91565",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "70-OMS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.