Active NPI
Evelyn Sachie Takane, DDS
- Dentist
- Hoopa, CA
National Provider Identifier
1750501607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35345
- Practice address
- 1200 Airport Road
Hoopa, CA 95546 - Phone
- (530) 625-4261
- Fax
- (530) 625-4951
- NPI assigned
- Apr 25, 2007
- Last updated
- May 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35345 | CA | Primary |
Addresses
Primary practice location
1200 Airport Road
Hoopa, CA 95546
Mailing address
PO Box 1288 1200 Airport Rd
Hoopa, CA 95546
Phone (714) 742-0142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K'Ima:W Medical Center | Past | Accepting new patients | |
| K'Ima:W Medical Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Hoopa, CA
- NPI 1306904222
-
- Clinic/Center
- Hoopa, CA
- NPI 1861661365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273190400000",
"number": "1750501607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288 1200 AIRPORT RD",
"city": "HOOPA",
"state": "CA",
"postal_code": "95546",
"telephone_number": "714-742-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AIRPORT ROAD",
"city": "HOOPA",
"state": "CA",
"postal_code": "95546",
"telephone_number": "530-625-4261",
"fax_number": "530-625-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKANE",
"first_name": "EVELYN",
"middle_name": "SACHIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2010-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoopa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.