Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Shigeru Omoto, DDS

Individual provider Dentist · NPI 1609176460

Dr. Kevin Shigeru Omoto, DDS is a Dentist in Westminster, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

15355 Brookhurst St #101
Westminster, CA 92683-7077
Phone: (714) 531-5175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 58854 (CA)

Record details

NPI number1609176460
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 27, 2010

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