Active NPI
David M. Okuji, D.D.S.
- Pediatric Dentistry
- Santa Cruz, CA
National Provider Identifier
1811986607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 28057
- Practice address
- 1667 Dominican Way
Suite 232
Santa Cruz, CA 95065-1518 - Phone
- (831) 476-5512
- Fax
- (831) 687-0102
- NPI assigned
- Oct 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 28057 | CA | Primary |
Addresses
Primary practice location
1667 Dominican Way
Suite 232
Santa Cruz, CA 95065-1518
Mailing address
1667 Dominican Way
Suite 232
Santa Cruz, CA 95065-1518
Phone (831) 476-5512
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 |
|---|---|---|---|
| 28057 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Children'S Dental Group | Pediatric Dentistry | Past | Accepting new patients |
| Linh N Van DDS Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Santa Cruz, CA
- NPI 1003012329
-
- Pediatric Dentistry
- Santa Cruz, CA
- NPI 1245533538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811986607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1667 DOMINICAN WAY",
"address_2": "SUITE 232",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651518",
"telephone_number": "831-476-5512",
"fax_number": "831-687-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1667 DOMINICAN WAY",
"address_2": "SUITE 232",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651518",
"telephone_number": "831-476-5512",
"fax_number": "831-687-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUJI",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "28057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.