Paul H Byun, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2068 Issued in HI

Practice address

445 Waianuenue Ave
Hilo, HI 96720-2535

Phone

(808) 935-3351

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Takata Dental Health Center, Inc.

  • General Practice Dentistry
  • Hilo, HI
  • NPI 1285785824
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003966607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202535",
            "telephone_number": "808-935-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYUN",
        "first_name": "PAUL",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE",
            "identifier": "2068",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "24290-9",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54046001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma C Burrows, LMFT
• Paul James Burt, M.S.
• Gloria Buswell-Ordonez
• Ciara Butts, PHARM.D.
• Mathew Sherred Byers, RPT
• Ruth Kimberly Cabal
• Cheyrub Cabarloc
• Kyle Kalena Cabison, MD
• Stephanie Cabreros
• Sheldon Cabudol

• General Practice Dentistry in Hilo, HI
• Providers in Hilo, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.