DR. ROGER SATORU NISHIMURA JR. (NPI# 1821078700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821078700 |
| Entity Type | Individual |
| Full Name | DR. ROGER SATORU NISHIMURA JR. |
| Credential | DMD |
| Practice Address |
1008 Sw C Ave Suite 102 Lawton OK 73501-4300 |
| Mailing Address |
311 Nw Ridgeview Way Lawton OK 73505-6131 |
| Practice Telephone | 5802486055 |
| Practice Fax Number | 5802486056 |
| Mailing Telephone | 5803534372 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
ENDODONTICS # 27 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417054313 | Roger D Nishimura | Dentist | 3300 E 1st Ave Ste 300, Denver, CO 80206-5806 | 2006-09-20 |
| 1295375228 | Roger T Nishimura | Pharmacist | 1173 21st Ave, Honolulu, HI 96816-4637 | 2020-01-07 |
| Street Address |
1008 SW C AVE SUITE 102 |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992843965 | Jay Scott Sullins | Dentist | 8504 Nw Cache Rd, Lawton, OK 73505-9604 | 2007-02-02 |
| 1548556327 | Lawton Endodontics | Dentist | 8504 Nw Cache Rd, Lawton, OK 73505-9604 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891008272 | Reham El-hennawey | Dentist | 400 Riverwalk Ter, Ste 200, Jenks, OK 74037-5606 | 2010-07-14 |
| 1770713729 | Eugenia Johnson | Dentist | 4416 W Houston St, Broken Arrow, OK 74012-4645 | 2009-07-23 |
| 1013187186 | Denny W Southard | Dentist | 6565 S Yale Ave Ste 712, Tulsa, OK 74136-8308 | 2008-03-05 |
| 1972703734 | J. Mike Strand | Dentist | 4420 W Houston St, Broken Arrow, OK 74012-4645 | 2007-07-20 |
| 1629290242 | Kim Loren Wilkinson | Dentist | 13851 Quail Pointe Dr, Oklahoma City, OK 73134-1021 | 2007-05-03 |
| 1336366244 | Jackson L. Sullivan D.d.s., P.C. | Dentist | 609 S Kelly Ave Ste E1, Edmond, OK 73003-7501 | 2007-04-20 |
| 1861532616 | Steven Eugene Powell | Dentist | 410 24th Ave Sw, Norman, OK 73069-5110 | 2007-02-08 |
| 1760536866 | David W Pedicord | Dentist | 4606 E 67th Street, Suite 208, Tulsa, OK 74136 | 2007-01-23 |
| 1437207560 | David J Clement | Dentist | 1201 N Stonewall Ave., Ouhsc College of Dentistry, Oklahoma City, OK 73117 | 2007-01-08 |
| 1982616256 | William Lee Beasley I | Dentist | 4500 Memorial Cir, Oklahoma City, OK 73142-5003 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
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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.