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DR. KEITH TARO KOMATSU D.D.S.
NPI 1366659104
Dentist - Endodontics in Redondo Beach, CA

Active since May 17, 2007PECOS Enrolled
1921 S CATALINA AVE, SUITE 3, REDONDO BEACH, CA 90277(310) 375-8012 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Taro Komatsu D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH TARO KOMATSU D.D.S. (NPI 1366659104) is an individual endodontics provider in Redondo Beach, California, licensed in California (40455) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366659104
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KEITH TARO KOMATSUCredential: D.D.S.
Location Address1921 S CATALINA AVE, SUITE 3Redondo Beach, CA 90277-5516
Mailing Address1921 S Catalina Ave, Suite 3Redondo Beach, CA 90277-5516 · (310) 375-8012
Phone(310) 375-8012
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1366659104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 40455
Definition
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.
1921 S CATALINA AVE, Redondo Beach, CA 90277
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Taro Komatsu D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRAIG DENNIS WOODS D.D.S.
Dentist
1921 S CATALINA AVE, SUITE 2
REDONDO BEACH, CA 90277
Los Angeles County (310) 378-1229
DR. TIMOTHY PAUL MCALLISTER D.D.S.
Dentist (General Practice)
1921 S CATALINA AVE
REDONDO BEACH, CA 90277
Los Angeles County (310) 378-1229
DR. TIMOTHY JAMES HOOPES DDS
Dentist (General Practice)
1921 S CATALINA AVE, SUITE 4
REDONDO BEACH, CA 90277
Los Angeles County (310) 378-7494
DR. ELLEN YUKIKO HAYASHI D.D.S.
Dentist (Periodontics)
1921 S CATALINA AVE, SUITE 3
REDONDO BEACH, CA 90277
Los Angeles County (310) 375-8012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Komatsu's NPI number?

The NPI number for Keith Komatsu is 1366659104. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Keith Komatsu located?

Keith Komatsu practices at 1921 S Catalina Ave Suite 3, Redondo Beach, CA 90277. The listed phone number is (310) 375-8012.

What is Keith Komatsu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Keith Komatsu enrolled in Medicare?

Yes. Keith Komatsu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Komatsu was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.