Robert T. Kimura D.M.D.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ROBERT T. KIMURA D.M.D.

Practice address

11980 San Vicente Blvd Ste 500
Los Angeles, CA 90049-6603

Phone

(310) 207-6111

Fax

(310) 207-8083

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert T. Kimura, D.M.D.NPI 1891024550

Title

Dr.

Phone

(310) 207-6111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert T. Kimura, DMD

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1891024550
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720205891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496603",
            "telephone_number": "310-207-6111",
            "fax_number": "310-207-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496603",
            "telephone_number": "310-207-6111",
            "fax_number": "310-207-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. KIMURA D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMURA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "310-207-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.