Spencer Hiura, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101766 Issued in CA

Practice address

3151 S White Rd Ste 211
San Jose, CA 95148-4045

Phone

(408) 646-1420

Fax

(408) 646-1420

NPI assigned

Aug 31, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1770001554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 BOX CANYON RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951205627",
            "telephone_number": "408-646-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD STE 211",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-646-1420",
            "fax_number": "408-646-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIURA",
        "first_name": "SPENCER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Akiko Hisatomi, MD
• Erika Kelly Hishiro
• Yukiko Hishiya, PSY.D.
• Kent T. Hiura, D.D.S.
• Madeline Hiura
• HL Acupuncture Inc
• Tin T Hla, M.D.
• HN Health Inc
• Alexander Ho
• Anh Lauren Ho, MHI

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Aug 31, 2017; 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.