Kinuko Lyn Kumamoto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30710 Issued in CA

Practice address

27762 Vista del Lago
Suite 9
Mission Viejo, CA 92692-1137

Phone

(949) 859-3109

Fax

(949) 859-4936

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Farinella and Kumamoto Dentistry

  • General Practice Dentistry
  • Mission Viejo, CA
  • NPI 1205023058
  NPD (past)
• K Panchal Dental Corporation

  • Dentist
  • Mission Viejo, CA
  • NPI 1053299495
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1881889442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 VISTA DEL LAGO",
            "address_2": "SUITE 9",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921137",
            "telephone_number": "949-859-3109",
            "fax_number": "949-859-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27762 VISTA DEL LAGO",
            "address_2": "SUITE 9",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921137",
            "telephone_number": "949-859-3109",
            "fax_number": "949-859-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAMOTO",
        "first_name": "KINUKO",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhavan Krishnan, MD
• Shandrey Krone, AMFT
• Roxanne A Krueger, CRNFA
• Tiffany Bridgette Kuester
• Daniel L Kulick, M.D.
• Gail Sara Kuner, LMFT
• Angela C Kung, L.AC
• Nadia Kurrle, M.A., OTR
• Kenneth D. Kushner, M.D.
• Raymond E Kwa, M.D.

• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.