Individual provider Active NPI

Dan Takebayashi, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1689236796
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103882 Issued in CA
Practice address
8701 Camino Media Ste a
Bakersfield, CA 93311-1336
Phone
(661) 861-8000
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103882 CA Primary

Addresses

Primary practice location

8701 Camino Media Ste a
Bakersfield, CA 93311-1336

Mailing address

8701 Camino Media Ste a
Bakersfield, CA 93311-1336

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
I20230731003391 CA Order and Referring Only - DentistPractitioner - Dentist 2163883646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103882CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Casteen Dental Corp General Practice PastSince Jul 16, 2023 Accepting new patients
Casteen Dental Corp Dba Capital Dental Group General Practice PastSince Jul 16, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8135/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1689236796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 CAMINO MEDIA STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 CAMINO MEDIA STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111336",
            "telephone_number": "661-861-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEBAYASHI",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.