Individual provider Active NPI

Kristin M. Moriguchi, D.D.S.

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1831571694
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100852 Issued in CA
Practice address
5400 Balboa Blvd Ste 211
Encino, CA 91316-5217
Phone
(818) 986-7470
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 100852 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd Ste 211
Encino, CA 91316-5217

Mailing address

5400 Balboa Blvd Ste 211
Encino, CA 91316-5217
Phone (818) 986-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529003731 CA Practitioner - Dentist 1759723240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Mar 10, 2024 Accepting new patients
St. Johns Community Health CurrentSince Mar 10, 2024 Accepting new patients
St. Johns Community Health Past Accepting new patients
Kawata Dental Inc. Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1910 Magnolia Ave
Ste 101
Los Angeles, CA 90007

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1831571694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165217",
            "telephone_number": "818-986-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165217",
            "telephone_number": "818-986-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIGUCHI",
        "first_name": "KRISTIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.