Individual provider Active NPI

Dale David Inouye, D.D.S.

  • Dentist
  • Montebello, CA
National Provider Identifier
1669624599
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33700 Issued in CA
Practice address
433 N 4TH St
Suite 210
Montebello, CA 90640-4311
Phone
(323) 888-1030
Fax
(323) 888-1011
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33700 CA Primary

Addresses

Primary practice location

433 N 4TH St
Suite 210
Montebello, CA 90640-4311

Mailing address

433 N 4TH St
Suite 210
Montebello, CA 90640-4311
Phone (323) 888-1030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000801 CA Order and Referring Only - DentistPractitioner - Dentist 6204134703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Botros & Eskandar DDS Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1669624599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "SUITE 210",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404311",
            "telephone_number": "323-888-1030",
            "fax_number": "323-888-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST",
            "address_2": "SUITE 210",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404311",
            "telephone_number": "323-888-1030",
            "fax_number": "323-888-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOUYE",
        "first_name": "DALE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.