Individual provider Active NPI

Richard Tamotsu Nishikawa, D.D.S.

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1982824017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27348 Issued in CA
Practice address
23560 Madison St.
Suite 202
Torrance, CA 90505-4710
Phone
(310) 530-6444
Fax
(310) 530-9890
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27348 CA Primary

Addresses

Primary practice location

23560 Madison St.
Suite 202
Torrance, CA 90505-4710

Mailing address

23560 Madison St.
Suite 202
Torrance, CA 90505-4710
Phone (310) 530-6444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150730011315 CA Order and Referring Only - DentistPractitioner - Dentist 6608180963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard T. Nishikawa, D.D.S., Inc. General Practice Past Accepting new patients
Nishikawa Dental Corp PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982824017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST.",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054710",
            "telephone_number": "310-530-6444",
            "fax_number": "310-530-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST.",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054710",
            "telephone_number": "310-530-6444",
            "fax_number": "310-530-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIKAWA",
        "first_name": "RICHARD",
        "middle_name": "TAMOTSU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.