Brent M Furumoto, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55164 Issued in CA

Practice address

21660 Copley Dr Ste 200
Diamond Bar, CA 91765-4176

Phone

(909) 861-3515

Fax

(909) 861-2795

NPI assigned

Jul 13, 2009

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael K. Furumoto DDS, Inc

  • Dentist
  • Diamond Bar, CA
  • NPI 1316482169
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1760611685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21660 COPLEY DR STE 200",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654176",
            "telephone_number": "909-861-3515",
            "fax_number": "909-861-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 COPLEY DR STE 200",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654176",
            "telephone_number": "909-861-3515",
            "fax_number": "909-861-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURUMOTO",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55164",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Fonmin, MD
• Loryann Fradejas, RN
• Stephen M Fuang, DDS, MSD
• William M Fujihara
• Brandi M. Funk, FNP-C
• Michael K Furumoto, D.D.S
• Futurenet Technologies Corporation
• Gad Professional Dental Corporation
• Alina Wanling Gad, DDS
• Winnie Wanjiru Gakobo

• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.