Organization Active NPI

Dennis I. Maehara, M.D., Inc.

  • Specialist
  • Waipahu, HI
National Provider Identifier
1023297835
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H2131 Issued in HI
Legal business name
DENNIS I. MAEHARA, M.D., INC.
Practice address
94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797
Phone
(808) 617-3782
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Dennis I Maehara, M.D.NPI 1760589667
Title
President
Phone
(808) 955-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H2131 HI Primary

Addresses

Primary practice location

94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797

Mailing address

94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797
Phone (808) 617-3782

Other identifiers 1

IdentifierTypeStateIssuer
32240MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Dennis I Maehara MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797
Phone (808) 671-3782

94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797
Phone (808) 617-3782

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1023297835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-239 WAIPAHU DEPOT ST",
            "address_2": "STE 105",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-617-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-239 WAIPAHU DEPOT ST",
            "address_2": "STE 105",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-617-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS I. MAEHARA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MAEHARA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-955-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "H2131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32240",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.