Roxanne N Kobayashi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37436 Issued in CA

Practice address

1 Civic Center Dr Ste 110
San Marcos, CA 92069-2934

Phone

(760) 752-1430

Fax

(760) 752-1598

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Daniel Tevrizian, D.D.S., Inc.

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1285725101
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1902128390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR STE 110",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692934",
            "telephone_number": "760-752-1430",
            "fax_number": "760-752-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER DR STE 110",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692934",
            "telephone_number": "760-752-1430",
            "fax_number": "760-752-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAYASHI",
        "first_name": "ROXANNE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37436",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raya Sepanik Klooster, ASW
• Nicole Klopp
• Tyler Joseph Klosterman
• Amber Nicole Jatoft Knight, MD
• Lisa Knight, AMFT
• Jennifer Lynn Koch, LCSW
• Leonard Yoshio Koda, PH.D.
• Kathryn M Kohout, FNP
• Erin Anne Kolling, DDS
• Christine Koraiban, RN BSN LC

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, 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 Feb 25, 2010; 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.