Individual provider Active NPI

Gen Ohkawa, DDS

  • General Practice Dentistry
  • Saugerties, NY
National Provider Identifier
1992931372
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054989 Issued in NY
Practice address
33 Route 32a
Saugerties, NY 12477-3711
Phone
(518) 678-3111
Fax
(518) 678-1137
NPI assigned
May 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 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

Other identifiers 1

IdentifierTypeStateIssuer
03256984MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213002017 NY Order and Referring Only - DentistPractitioner - Dentist 7517247372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03256984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

Verify at the official NPI Registry.