Individual provider Active NPI

Jacqueline S Brown-Hitomi, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1013924539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1894 Issued in HI
Practice address
1600 Kapiolani Blvd
Suite 518
Honolulu, HI 96814-3801
Phone
(808) 949-5644
Fax
(808) 949-8852
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1894 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd
Suite 518
Honolulu, HI 96814-3801

Mailing address

1600 Kapiolani Blvd
Suite 518
Honolulu, HI 96814-3801
Phone (808) 949-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702002595 HI Order and Referring Only - DentistPractitioner - Dentist 7214249275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1894HIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline S. Brown, DDS, Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013924539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 518",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-949-5644",
            "fax_number": "808-949-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 518",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-949-5644",
            "fax_number": "808-949-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-HITOMI",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.