Dr. Nicole Kawakami, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in San Pedro, CA. Individual provider (NPI-1).
NPI number1487539722
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1487539722
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Kawakami
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2025
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DDS108345 | CA | Yes |
Practice location
1411 W 7th St Ste DSan Pedro, CA 90732-3522
Phone 310-833-2449
Mailing address
1411 W 7th St Ste DSan Pedro, CA 90732-3522
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