NPIMap

Organization Active NPI

Randall D. J. Yee, DDS, MSD, Inc.

  • Endodontics
  • Wailuku, HI
National Provider Identifier
1043422439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DT-1111 Issued in HI
Legal business name
RANDALL D. J. YEE, DDS, MSD, INC.
Practice address
1063 Lower Main St Ste C224
Wailuku, HI 96793-2096
Phone
(808) 242-6857
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randall D.J. Yee, DDSNPI 1497899876
Title
President
Phone
(808) 242-6857

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DT-1111 HI Primary

Addresses

Primary practice location

1063 Lower Main St Ste C224
Wailuku, HI 96793-2096

Mailing address

1063 Lower Main St Ste C224
Wailuku, HI 96793-2096
Phone (808) 242-6857

National Provider Directory

National Provider Directory

Locations

1063 Lower Main St
Ste C224
Wailuku, HI 96793
Phone (808) 242-6857

Practitioners & affiliated clinicians

Practitioners 3

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": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043422439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST STE C224",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932096",
            "telephone_number": "808-242-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST STE C224",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932096",
            "telephone_number": "808-242-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL D. J. YEE, DDS, MSD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "D.J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-242-6857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "DT-1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.