Individual provider Active NPI

Alan S K Itano, DDS

  • Dentist
  • Pasadena, CA
National Provider Identifier
1871789776
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36944 Issued in CA
Practice address
90 N Hudson Ave
Pasadena, CA 91101-1808
Phone
(626) 795-7698
Fax
(626) 795-2116
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36944 CA Primary

Addresses

Primary practice location

90 N Hudson Ave
Pasadena, CA 91101-1808

Mailing address

90 N Hudson Ave
Pasadena, CA 91101-1808
Phone (626) 795-7698

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36944CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Itano Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1871789776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N HUDSON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011808",
            "telephone_number": "626-795-7698",
            "fax_number": "626-795-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N HUDSON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011808",
            "telephone_number": "626-795-7698",
            "fax_number": "626-795-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITANO",
        "first_name": "ALAN",
        "middle_name": "S K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.