Organization Active NPI

Russell L. Nakano, D.D.S., Inc.

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1881737435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23546 Issued in CA
Legal business name
RUSSELL L. NAKANO, D.D.S., INC.
Practice address
665 S Knickerbocker Dr
Suite 6
Sunnyvale, CA 94087-1033
Phone
(408) 245-2831
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Russell L. Nakano, D.D.S.NPI 1326183914
Title
Owner
Phone
(408) 245-2831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23546 CA Primary

Addresses

Primary practice location

665 S Knickerbocker Dr
Suite 6
Sunnyvale, CA 94087-1033

Mailing address

665 S Knickerbocker Dr
Suite 6
Sunnyvale, CA 94087-1033
Phone (408) 245-2831

National Provider Directory

National Provider Directory

Locations

665 S Knickerbocker Dr
Ste 6
Sunnyvale, CA 94087
Phone (408) 245-2831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881737435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S KNICKERBOCKER DR",
            "address_2": "SUITE 6",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871033",
            "telephone_number": "408-245-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S KNICKERBOCKER DR",
            "address_2": "SUITE 6",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871033",
            "telephone_number": "408-245-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L. NAKANO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAKANO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-245-2831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, 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.