Active NPI
Gen Ohkawa, DDS
- General Practice Dentistry
- Saugerties, NY
National Provider Identifier
1992931372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054989
- Practice address
- 33 Route 32a
Saugerties, NY 12477-3711 - Phone
- (518) 678-3111
- Fax
- (518) 678-1137
- NPI assigned
- May 31, 2009
- Last updated
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 054989 | NY | Primary |
Addresses
Primary practice location
33 Route 32a
Saugerties, NY 12477-3711
Mailing address
33 Route 32a
Saugerties, NY 12477-3711
Phone (518) 678-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161213002017 | NY | Order and Referring Only - Dentist | 7517247372 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gen Ohkawa DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1992931372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ROUTE 32A",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124773711",
"telephone_number": "518-678-3111",
"fax_number": "518-678-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 ROUTE 32A",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124773711",
"telephone_number": "518-678-3111",
"fax_number": "518-678-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHKAWA",
"first_name": "GEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-31",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.