Kurtis Kanemaru, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32571 Issued in CA

Practice address

7092 Katella Ave
Stanton, CA 90680-2805

Phone

(714) 894-5361

Fax

(714) 894-1921

NPI assigned

Jan 11, 2007

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kurtis S Kanemaru, DMD, Inc

  • General Practice Dentistry
  • Stanton, CA
  • NPI 1114346293
  NPD (past) Authorized official
• The Arbor Dental Group

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1518311026
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1982754016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7092 KATELLA AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802805",
            "telephone_number": "714-894-5361",
            "fax_number": "714-894-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7092 KATELLA AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802805",
            "telephone_number": "714-894-5361",
            "fax_number": "714-894-1921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14785 Jeffrey Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926180412",
            "country_code": "US",
            "telephone_number": "949-551-1443",
            "fax_number": "949-551-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANEMARU",
        "first_name": "KURTIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Johnson, SUDRC
• Alliya Jong
• Daisy Juarez
• Emily Jung
• Jamall Kah
• Sabri Kapcak
• Howard Kaplan
• Sandy S Kholghy, RD, RDN
• Ly My Khuc, PHARMD
• Chris G Kim

• General Practice Dentistry in Stanton, CA
• Providers in Stanton, 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 Oct 25, 2023; 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.