Organization Active NPI

Itano Dentistry

  • Dental Clinic/Center
  • Pasadena, CA
National Provider Identifier
1639358658
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12560 Issued in CA
Legal business name
ITANO DENTISTRY
Practice address
90 N Hudson Ave
Pasadena, CA 91101-1808
Phone
(626) 795-7698
Fax
(626) 795-2116
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Sadao Itano, DDS
Title
Dentist
Phone
(626) 795-7698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12560 CA Primary

Addresses

Primary practice location

90 N Hudson Ave
Pasadena, CA 91101-1808

Mailing address

90 N Hudson Ave
Pasadena, CA 91101-1808
Phone (626) 795-7698

National Provider Directory

National Provider Directory

Locations

90 N Hudson Ave
Pasadena, CA 91101
Phone (626) 795-7698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1639358658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N HUDSON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011808",
            "telephone_number": "626-795-7698",
            "fax_number": "626-795-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N HUDSON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011808",
            "telephone_number": "626-795-7698",
            "fax_number": "626-795-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITANO DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ITANO",
        "authorized_official_first_name": "SADAO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-795-7698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "12560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.