Active NPI
Kris Mariko Murakawa, D.D.S.
- Dentist
- Alhambra, CA
National Provider Identifier
1659553550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56507
- Practice address
- 1017 S Garfield Ave
Alhambra, CA 91801-4710 - Phone
- (626) 282-4171
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56507 | CA | Primary |
Addresses
Primary practice location
1017 S Garfield Ave
Alhambra, CA 91801-4710
Mailing address
2606 Camino del Sol
Fullerton, CA 92833-4806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191106003474 | CA | Practitioner - Oral Surgery | 3375975675 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56507 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1659553550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 CAMINO DEL SOL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 S GARFIELD AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014710",
"telephone_number": "626-282-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURAKAWA",
"first_name": "KRIS",
"middle_name": "MARIKO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.