NPIMap

Organization Active NPI

Shirley S. Hirayama DDS

  • Dental Clinic/Center
  • La Verne, CA
National Provider Identifier
1649788696
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
32093 Issued in CA
Legal business name
SHIRLEY S. HIRAYAMA DDS
Doing business as
Shirley S. Hirayama DDS
Practice address
2117 Foothill Blvd Ste C
La Verne, CA 91750-2902
Phone
(909) 593-7171
Fax
(909) 593-7603
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Shirley S. Hirayama, DDSNPI 1659484582
Title
Manager
Phone
(909) 593-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 32093 CA Primary

Addresses

Primary practice location

2117 Foothill Blvd Ste C
La Verne, CA 91750-2902

Mailing address

2117 Foothill Blvd Ste C
La Verne, CA 91750-2902
Phone (909) 593-7171

Other names 1

  • Shirley S. Hirayama DDS Doing business as

National Provider Directory

National Provider Directory

Locations

2117 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 593-7171

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": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1649788696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 FOOTHILL BLVD STE C",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502902",
            "telephone_number": "909-593-7171",
            "fax_number": "909-593-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 FOOTHILL BLVD STE C",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502902",
            "telephone_number": "909-593-7171",
            "fax_number": "909-593-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY S. HIRAYAMA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HIRAYAMA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-593-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "32093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shirley S. Hirayama DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.