Gary U Okamoto, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

34536 Issued in CA

Practice address

77564 Country Club Dr
#190A
Palm Desert, CA 92211-0484

Phone

(760) 360-0622

Fax

(760) 360-6282

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gary U. Okamoto D.M.D. a Professional Corporation

  • Pediatric Dentistry
  • Palm Desert, CA
  • NPI 1821953076
  NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1669545752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR",
            "address_2": "#190A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-360-0622",
            "fax_number": "760-360-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR",
            "address_2": "#190A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110484",
            "telephone_number": "760-360-0622",
            "fax_number": "760-360-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "GARY",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "34536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Nwosu
• Lisa O'Brien
• Oasis Comfort Care Incorporated
• Odyssey Healthcare Operating a LP
• Kristina Ofarrell
• Joseph Kevin Okon, OTR/L
• Olive Crest
• Olive Crest
• Olive Crest
• Olive Crest

• All providers in Palm Desert, CA
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.