Individual provider Active NPI

Neil Craig Nunokawa, D.D.S.

  • General Practice Dentistry
  • Wailuku, HI
National Provider Identifier
1023140514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0997 Issued in HI
Practice address
1885 Main St
Suite 204
Wailuku, HI 96793-1819
Phone
(808) 244-3986
Fax
(808) 244-5742
NPI assigned
Mar 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 0997 HI Primary

Addresses

Primary practice location

1885 Main St
Suite 204
Wailuku, HI 96793-1819

Mailing address

1885 Main St
Suite 204
Wailuku, HI 96793-1819
Phone (808) 244-3986

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
I20160329001817 HI Order and Referring Only - DentistPractitioner - Dentist 3173820693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0997HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neil C. Nunokawa, 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, 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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023140514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "SUITE 204",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-244-3986",
            "fax_number": "808-244-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "SUITE 204",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-244-3986",
            "fax_number": "808-244-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNOKAWA",
        "first_name": "NEIL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "0997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.