Individual provider Active NPI

Scott T Nakahara, D.D.S.

  • General Practice Dentistry
  • Honokaa, HI
National Provider Identifier
1043358799
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1264 Issued in HI
Practice address
45-3290 Ohia St
Honokaa, HI 96727-6931
Phone
(808) 775-7294
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 1264 HI Primary

Addresses

Primary practice location

45-3290 Ohia St
Honokaa, HI 96727-6931

Mailing address

45-3290 Ohia St
Honokaa, HI 96727-6931
Phone (808) 775-7294

Other practice location 1

30 Oki Pl
Kaunakakai, HI 96748-2040
Phone (808) 660-2598

Organizations & group practices 3

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.

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
I20190704000010 HI Practitioner - Dentist 2163743030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1264HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients
Scott T. Nakahara, D.D.S. General Practice Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23954/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1043358799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-3290 OHIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276931",
            "telephone_number": "808-775-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-3290 OHIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276931",
            "telephone_number": "808-775-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Oki Pl",
            "address_purpose": "LOCATION",
            "city": "Kaunakakai",
            "state": "HI",
            "postal_code": "967482040",
            "country_code": "US",
            "telephone_number": "808-660-2598",
            "fax_number": "808-553-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAHARA",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honokaa, HI

Sources for this page

Verify at the official NPI Registry.