Jason Hanji Ikeno, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1819 Issued in HI

Practice address

94-216 Farrington Hwy
B2-309
Waipahu, HI 96797-1922

Phone

(808) 676-1520

Fax

(808) 676-1921

NPI assigned

Mar 1, 2007

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 1

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 and National Provider Directory roles.

• Jason H. Ikeno D.D.S. Inc

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1285854810
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013045954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "address_2": "B2-309",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-676-1520",
            "fax_number": "808-676-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "address_2": "B2-309",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-676-1520",
            "fax_number": "808-676-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKENO",
        "first_name": "JASON",
        "middle_name": "HANJI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24459501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamera Huynh
• Vyvy Huynh
• Lea Iaea
• Jesse Ignacio
• Ikaika Belding LLC
• Maria Caridad Ilar-Revilla, M.D.
• Jasmine Nancy Imhoff
• Alfred Agsalog Ines, MD
• Kurt A. Ing, OD
• Kimberly Inglis, BCABA

• General Practice Dentistry in Waipahu, HI
• Providers in Waipahu, 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.