Duane T Nishikubo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35770 Issued in CA

Practice address

44227 Monterey Ave Ste 1
Palm Desert, CA 92260-2710

Phone

(760) 341-8414

Fax

(760) 776-1610

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1770743221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922611541",
            "telephone_number": "760-341-8414",
            "fax_number": "760-776-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44227 MONTEREY AVE STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-341-8414",
            "fax_number": "760-776-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIKUBO",
        "first_name": "DUANE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Palm Desert, CA
• Providers in Palm Desert, 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 Jun 9, 2008; 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.