Kristen Kikumi Watanabe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62445 Issued in CA

Practice address

16315 Whittier Blvd Ste 205
Whittier, CA 90603-2910

Phone

(562) 943-1055

NPI assigned

Jun 20, 2013

Last updated

Dec 2, 2024By the provider in NPPES

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

Locations

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.

• Kristen K. Watanabe DDS Inc

  dba Ahava Dental

  • Dental Clinic/Center
  • Whittier, CA
  • NPI 1033935309
  NPD Authorized official

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1902245152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 WHITTIER BLVD STE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032910",
            "telephone_number": "562-943-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16315 WHITTIER BLVD STE 205",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032910",
            "telephone_number": "562-943-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 3rd St Ste 702",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131647",
            "country_code": "US",
            "telephone_number": "213-620-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "KRISTEN",
        "middle_name": "KIKUMI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Wang, D.O.
• Paul Wanlass, DC
• Karlie A Wanmer
• David Allen Warner, D.D.S.
• Devon Washington
• Rianna Watts
• Sandy L Way
• Wayfinder Family Services
• Halie Weaver
• Kandice Weaver

• General Practice Dentistry in Whittier, CA
• Providers in Whittier, 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 Dec 2, 2024; 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.