Kevin M. Mizoguchi, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1450 Issued in HI

Legal business name

KEVIN M. MIZOGUCHI, DDS, LLC

Practice address

615 Piikoi St
Suite 507
Honolulu, HI 96814-3116

Phone

(808) 596-8020

Fax

(808) 597-6149

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M. Mizoguchi, D.D.S.

Title

Owner

Phone

(808) 596-8020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013135177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 507",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-596-8020",
            "fax_number": "808-597-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 507",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-596-8020",
            "fax_number": "808-597-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. MIZOGUCHI, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIZOGUCHI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-596-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Y. Pei M.D., Inc.

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, 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 Aug 22, 2020; 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.