Russell K Tasaka, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1612 Issued in HI

Legal business name

RUSSELL K TASAKA, DMD

Practice address

2024 N King St
107
Honolulu, HI 96819-3456

Phone

(808) 841-7944

Fax

(808) 841-7945

NPI assigned

Aug 23, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcella P Smau

Title

Office Manager

Phone

(808) 737-9032

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kalihi Center for Dentistry Other name

Tax ID family

Russell K Tasaka DMD2 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.

• Russell K Tasaka, DMD

  • Dentist
  • Honolulu, HI
  • NPI 1710227376
  NPD tax ID

Locations

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1053866715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N KING ST",
            "address_2": "107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193456",
            "telephone_number": "808-841-7944",
            "fax_number": "808-841-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N KING ST",
            "address_2": "107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193456",
            "telephone_number": "808-841-7944",
            "fax_number": "808-841-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL K TASAKA, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SMAU",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-737-9032"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056033-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalihi Center for Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine M Rungee, OTD, OTR/L
• Rupal M Gohil MD LLC
• Hana Rupnow
• Tameron Elizabeth Russ, ATC
• Russell G Tacata MD
• Russell K Tasaka, DMD
• Russell K Tasaka, DMD, LLC (Honolulu Center for Dentistry)
• Russell Wong MD Inc
• Joanna Marie Russell, M.D.
• Laura A. Russell, MD

• Dentist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.