DR. KEVIN SHIGERU OMOTO (NPI# 1609176460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609176460 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SHIGERU OMOTO |
| Credential | DDS |
| Practice Address |
15355 Brookhurst St #101 Westminster CA 92683-7077 |
| Mailing Address |
243 E Santa Fe Ct Placentia CA 92870-6002 |
| Practice Telephone | 7145315175 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 58854 | CA | Dental Providers |
| Street Address |
15355 BROOKHURST ST #101 |
| City | WESTMINSTER |
| State | CA |
| Zip Code | 92683-7077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888110 | Michael Khanh Tran | Ophthalmology | 15355 Brookhurst St, Suite 104, Westminster, CA 92683-7077 | 2005-08-22 |
| 1942677752 | Thanh Ngoc Nguyen, Dmd, Inc | Clinic/Center | 15355 Brookhurst St, Suite101, Westminster, CA 92683-7077 | 2015-08-27 |
| 1093936403 | Le, Nguyen, Tram, Nguyen & Tran Medical Corporation | Internal Medicine | 15355 Brookhurst St, Suite 102, Westminster, CA 92683-7077 | 2007-05-01 |
| 1730305715 | Thanh Ngoc Nguyen | Dentist | 15355 Brookhurst St, Suite 101, Westminster, CA 92683-7077 | 2007-04-18 |
| 1376769356 | Christine Thanh Ha Bui-tillman | Dentist | 15355 Brookhurst St, Suite 101, Westminster, CA 92683-7077 | 2007-04-18 |
| 1851471023 | Connie Khanh Nguyen | Family Medicine | 15355 Brookhurst St, Suite 102, Westminster, CA 92683-7077 | 2006-10-16 |
| 1720172083 | Le Thuy Tran | Family Medicine | 15355 Brookhurst St, Suite 102, Westminster, CA 92683-7077 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1265882856 | Anh Phuong Nguyen | Occupational Therapist | 15606 A Brookhurst St., Westminster, CA 92683 | 2016-06-15 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1366818767 | Hoai Albert Bui Jr. | Acupuncturist | 9561 Bolsa Ave, Westminster, CA 92683 | 2015-08-19 |
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| Find all providers in zip 92683 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541501 | Allison Kay Kathol | Dentist | 1333 W 120th Ave Ste 314, Westminster, CO 80234-2750 | 2019-07-31 |
| 1316424328 | Dylan Mcknight | Dentist | 7970 Sheridan Blvd Ste 300a, Westminster, CO 80003-6200 | 2018-07-23 |
| 1295250686 | David Nguyen | Dentist | 9972 Bolsa Ave Ste 102, Westminster, CA 92683-6069 | 2017-08-07 |
| 1568919546 | Loretta M. Sadar Dds PC | Dentist | 8601 Turnpike Dr Unit 103, Westminster, CO 80031-7044 | 2016-09-07 |
| 1457806168 | Michelle Kim Nguyen | Dentist | 9353 Bolsa Ave # L62, Westminster, CA 92683-5951 | 2016-08-23 |
| 1538524905 | Mark Larson | Dentist | 5441 Saint Marys Cir, Westminster, CA 92683-3416 | 2015-12-29 |
| 1942686795 | Kellie Bateman | Dentist | 7025 Sheridan Blvd Ste 200, Westminster, CO 80003-3814 | 2015-08-04 |
| 1134500952 | Melba Akinwande | Dentist | 480 Meadow Creek Dr Ste B, Westminster, MD 21158-4445 | 2015-06-17 |
| 1275911216 | Kha D Le Dental Corp | Dentist | 9900 Mcfadden Ave #101, Westminster, CA 92683 | 2015-05-11 |
| 1710371174 | Meghan Holub | Dentist | 6415 W 104th Ave #300, Westminster, CO 80020 | 2015-03-24 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 92683 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.