Individual provider Active NPI

Jason Carey Ako, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1013930452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1607 Issued in HI
Practice address
4747 Kilauea Ave Ste 109
Honolulu, HI 96816-5308
Phone
(808) 732-3368
Fax
(808) 734-6022
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 1607 HI Primary

Addresses

Primary practice location

4747 Kilauea Ave Ste 109
Honolulu, HI 96816-5308

Mailing address

4747 Kilauea Ave Ste 109
Honolulu, HI 96816-5308
Phone (808) 732-3368

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
I20150713001756 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032422530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1607HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kahala Modern Dentistry PastSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013930452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 KILAUEA AVE STE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165308",
            "telephone_number": "808-732-3368",
            "fax_number": "808-734-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 KILAUEA AVE STE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165308",
            "telephone_number": "808-732-3368",
            "fax_number": "808-734-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKO",
        "first_name": "JASON",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.