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

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 and National Provider Directory roles.

• Kristen K. Watanabe DDS Inc

  • 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.