Active NPI
Darryl Teruo Hamamoto, DDS
- Dentist
- Columbus, OH
National Provider Identifier
1811098098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 71.000252
- Practice address
- 305 W 12TH Ave
Columbus, OH 43210-1267 - Phone
- (614) 292-4250
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS36551 | CA | |
| Dentist | 122300000X | 71.000252 | OH | Primary |
Addresses
Primary practice location
305 W 12TH Ave
Columbus, OH 43210-1267
Mailing address
305 W 12TH Ave
Columbus, OH 43210-1267
Phone (614) 292-4250
Other practice location 1
515 Delaware St SE
Oral Medicine & Diagnosis Clinic
Minneapolis, MN 55455-0357
Phone (612) 626-6529
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS36551 | CA | MD | Dentist |
| 71.000252 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811098098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W 12TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267",
"telephone_number": "614-292-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W 12TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267",
"telephone_number": "614-292-4250"
}
],
"practiceLocations": [
{
"address_1": "515 Delaware St SE",
"address_2": "Oral Medicine & Diagnosis Clinic",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550357",
"country_code": "US",
"telephone_number": "612-626-6529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMAMOTO",
"first_name": "DARRYL",
"middle_name": "TERUO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS36551",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "71.000252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.