Nakamura & Mitoma DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43850 Issued in CA

Legal business name

NAKAMURA & MITOMA DDS INC

Practice address

1552 N Tracy Blvd
Tracy, CA 95376-2903

Phone

(209) 835-9111

Fax

(209) 835-9169

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Chrislena N Thrasher, RDA

Title

Office Manager

Phone

(209) 835-9111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessie S Nakamura, DDS

  • General Practice Dentistry
  • Tracy, CA
  • NPI 1407954621
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770789810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "209-835-9111",
            "fax_number": "209-835-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "209-835-9111",
            "fax_number": "209-835-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAKAMURA & MITOMA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "CHRISLENA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-835-9111",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kian Nabavizadeh, D.D.S.
• Priti Nagnur, M.D.
• Reshma Nair
• Hanna Nakahara
• William Thomas Nakaki, DDS
• Jessie S Nakamura, DDS
• Maureen Nand
• Vashanda Laverne Napier
• Aeisha Narayan
• Hilton Lim Narciso

• General Practice Dentistry in Tracy, CA
• Providers in Tracy, 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 22, 2020; 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.