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DR. KEVIN SHIGERU OMOTO DDS
NPI 1609176460
Dentist in Westminster, CA

Active since October 27, 2010PECOS Enrolled
15355 BROOKHURST ST, #101, WESTMINSTER, CA 92683(714) 531-5175 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Shigeru Omoto Dds NPPES

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

DR. KEVIN SHIGERU OMOTO DDS (NPI 1609176460) is an individual dentist in Westminster, California, licensed in California (58854) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609176460
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN SHIGERU OMOTOCredential: DDS
Location Address15355 BROOKHURST ST, #101Westminster, CA 92683-7077
Mailing Address243 E Santa Fe CtPlacentia, CA 92870-6002
Phone(714) 531-5175
Sole ProprietorYes
Enumeration DateOctober 27, 2010
✔ NPI 1609176460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 58854
Definition
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.
15355 BROOKHURST ST, Westminster, CA 92683
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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. Kevin Shigeru Omoto Dds 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 92683 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 6

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

LE, NGUYEN, TRAM, NGUYEN & TRAN MEDICAL CORPORATION
Family Medicine
15355 BROOKHURST ST, SUITE 102
WESTMINSTER, CA 92683
Orange County (714) 531-2220
DR. CHRISTINE THANH HA BUI-TILLMAN D.D.S.
Dentist
15355 BROOKHURST ST, SUITE 101
WESTMINSTER, CA 92683
Orange County (714) 531-5175
LE THUY TRAN MD
Family Medicine
15355 BROOKHURST ST, SUITE 102
WESTMINSTER, CA 92683
Orange County (714) 775-3050
DR. THANH NGOC NGUYEN D.M.D.
Dentist
15355 BROOKHURST ST, SUITE 101
WESTMINSTER, CA 92683
Orange County (714) 531-5175
DR. CONNIE KHANH NGUYEN M.D.
Family Medicine
15355 BROOKHURST ST, SUITE 102
WESTMINSTER, CA 92683
Orange County (714) 775-3057
THANH NGOC NGUYEN, DMD, INC
Clinic/Center (Dental)
15355 BROOKHURST ST, SUITE101
WESTMINSTER, CA 92683
Orange County (714) 531-5175

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 Kevin Omoto's NPI number?

The NPI number for Kevin Omoto is 1609176460. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Kevin Omoto located?

Kevin Omoto practices at 15355 Brookhurst St #101, Westminster, CA 92683. The listed phone number is (714) 531-5175.

What is Kevin Omoto's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kevin Omoto enrolled in Medicare?

Yes. Kevin Omoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Omoto was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.