Scott Musashi Hirose, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110107 Issued in CA

Practice address

222 14TH St Lowr Level01
Oakland, CA 94612-4059

Phone

(510) 451-6828

NPI assigned

Jun 4, 2024

Sex

Male

Sole proprietor

No

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

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.

• O'Callaghan DDS Inc

  • Endodontics
  • Berkeley, CA
  • NPI 1427520006
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1679314462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10453 SCENIC CT",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142765",
            "telephone_number": "408-605-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 14TH ST LOWR LEVEL01",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124059",
            "telephone_number": "510-451-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2999 Regent St Ste 727",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052122",
            "country_code": "US",
            "telephone_number": "510-845-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 B St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945412952",
            "country_code": "US",
            "telephone_number": "510-886-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6431 Fairmount Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945303624",
            "country_code": "US",
            "telephone_number": "510-524-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIROSE",
        "first_name": "SCOTT",
        "middle_name": "MUSASHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hire
• Mamatha Hiregoudar, M.D.
• Brad Hirn
• Gail A Hirn, P.T.
• Diana Hiros, CRNA
• Anna Darvin Hirsch, MS, LMFT
• Cara Hirsch, OTR/L
• Megan Alyssa Hirsch
• Michael P Hirsch, D.C.
• Melessa Hirschhorn, REGISTERED NURSE

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.