Individual provider Active NPI

Robert Kenjiro Higa, DDS

  • Endodontics
  • Riverside, CA
National Provider Identifier
1689697302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
35901 Issued in CA
Practice address
4959 Arlington Ave
Suite L
Riverside, CA 92504-2756
Phone
(951) 343-0696
Fax
(951) 343-0697
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 35901 CA Primary

Addresses

Primary practice location

4959 Arlington Ave
Suite L
Riverside, CA 92504-2756

Mailing address

4959 Arlington Ave
Suite L
Riverside, CA 92504-2756
Phone (951) 343-0696

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
I20160210002823 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9335443357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert K. Higa, DDS, Ms, Inc. Endodontics 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689697302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 ARLINGTON AVE",
            "address_2": "SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042756",
            "telephone_number": "951-343-0696",
            "fax_number": "951-343-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 ARLINGTON AVE",
            "address_2": "SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042756",
            "telephone_number": "951-343-0696",
            "fax_number": "951-343-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGA",
        "first_name": "ROBERT",
        "middle_name": "KENJIRO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "35901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.