Active NPI
Sheila Yumiko Kodani, DDS
- General Practice Dentistry
- Redwood City, CA
National Provider Identifier
1760540116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46625
- Practice address
- 193 Arch St
#D
Redwood City, CA 94062 - Phone
- (650) 365-1889
- Fax
- (650) 365-1516
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46625 | CA | Primary |
Addresses
Primary practice location
193 Arch St
#D
Redwood City, CA 94062
Mailing address
193 Arch St
#D
Redwood City, CA 94062
Phone (650) 365-1889
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760540116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 ARCH ST",
"address_2": "#D",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94062",
"telephone_number": "650-365-1889",
"fax_number": "650-365-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 ARCH ST",
"address_2": "#D",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94062",
"telephone_number": "650-365-1889",
"fax_number": "650-365-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODANI",
"first_name": "SHEILA",
"middle_name": "YUMIKO",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.