Kris Uyehara, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

38470 Issued in CA

Practice address

9735 Wilshire Blvd Ste 314
Beverly Hills, CA 90212-2111

Phone

(310) 275-1184

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 12, 2016 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871634949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 314",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-275-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 314",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-275-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYEHARA",
        "first_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usc Care Medical Group, Inc
• Mae M Ushigome, M.D.
• Ryan Usui, MD
• Resham Uttamchandani, MD
• Robert Y Uyeda, MD
• Chidozie C Uzor, PA
• Guven Uzun, MD
• Shadi Vahedifar, PSY.D
• Vijay S Vaidya, M.D.
• Selina S. P. Vail, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.