Yutaka Okamoto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13735 Issued in MD

Practice address

5230 Tuckerman LN
Suite 105
North Bethesda, MD 20852-3474

Phone

(240) 667-7705

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smilewell, LLC

  • General Practice Dentistry
  • North Bethesda, MD
  • NPI 1164748711
  NPD (past) Authorized official
• Mkim Dental LLC

  • Dental Clinic/Center
  • North Bethesda, MD
  • NPI 1245057496
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1649428707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 TUCKERMAN LN",
            "address_2": "SUITE 105",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523474",
            "telephone_number": "240-667-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 TUCKERMAN LN",
            "address_2": "SUITE 105",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523474",
            "telephone_number": "240-667-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "YUTAKA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13735",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13735",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "MD",
            "license": "13735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samia Nikkhah, DDS
• Karen Noble
• North Bethesda Plastic Surgery LLC
• North Bethesda Primary Care
• Nutrihealth, LLC
• Orthobiologics Research Initiative, Inc.
• Jihye Park
• Kashiben G Patel, MD
• Peach State Medical Practice, PC
• Brenda Lee Pellicane, M.D.

• General Practice Dentistry in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.