Organization Active NPI

Jon Y Hatakeyama DDS Inc

  • Dentist
  • Morgan Hill, CA
National Provider Identifier
1821212895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22894 Issued in CA
Legal business name
JON Y HATAKEYAMA DDS INC
Practice address
370 W Dunne Avenue
Suite 3
Morgan Hill, CA 95037-4846
Phone
(408) 779-7391
Fax
(408) 779-5081
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Shelley Midori Hatakeyama
Title
Corp Secretary
Phone
(408) 464-2058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22894 CA Primary

Addresses

Primary practice location

370 W Dunne Avenue
Suite 3
Morgan Hill, CA 95037-4846

Mailing address

370 W Dunne Avenue
Suite 3
Morgan Hill, CA 95037-4846
Phone (408) 779-7391

National Provider Directory

National Provider Directory

Locations

370 W Dunne Ave
Ste 3
Morgan Hill, CA 95037
Phone (408) 779-7391

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821212895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W DUNNE AVENUE",
            "address_2": "SUITE 3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374846",
            "telephone_number": "408-779-7391",
            "fax_number": "408-779-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W DUNNE AVENUE",
            "address_2": "SUITE 3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374846",
            "telephone_number": "408-779-7391",
            "fax_number": "408-779-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON Y HATAKEYAMA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATAKEYAMA",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "MIDORI",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "408-464-2058",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "22894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • 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.