Organization Active NPI

Douglas S. Shiraki, D.D.S., Inc.

  • Dental Clinic/Center
  • Honolulu, HI
National Provider Identifier
1023363421
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DT-1457 Issued in HI
Legal business name
DOUGLAS S. SHIRAKI, D.D.S., INC.
Practice address
1010 S King St Ste B2
Honolulu, HI 96814-1775
Phone
(808) 593-2324
Fax
(808) 596-7947
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Dr. Douglas S. Shiraki, D.D.S.NPI 1881739472
Title
President
Phone
(808) 593-2324

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
Dental Clinic/Center 261QD0000X DT-1457 HI Primary

Addresses

Primary practice location

1010 S King St Ste B2
Honolulu, HI 96814-1775

Mailing address

1010 S King St Ste B2
Honolulu, HI 96814-1775
Phone (808) 593-2324

Other identifiers 3

IdentifierTypeStateIssuer
2566-8OtherHIHMSA
836161OtherPAUNITED CONCORDIA
1457OtherHIHAWAII DENTAL SERVICE

National Provider Directory

National Provider Directory

Locations

1010 S King St
Ste B2
Honolulu, HI 96814
Phone (808) 593-2324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1023363421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE B2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141775",
            "telephone_number": "808-593-2324",
            "fax_number": "808-596-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST STE B2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141775",
            "telephone_number": "808-593-2324",
            "fax_number": "808-596-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS S. SHIRAKI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "SHIRAKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-593-2324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "DT-1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "2566-8",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "836161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE",
            "identifier": "1457",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

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