Individual provider Active NPI

Andrew Inaba, DDS

  • Endodontics
  • Honolulu, HI
National Provider Identifier
1063934602
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DT2708 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 208
Honolulu, HI 96814-4400
Phone
(808) 591-1515
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DT2708 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 208
Honolulu, HI 96814-4400

Mailing address

1441 Kapiolani Blvd Ste 208
Honolulu, HI 96814-4400
Phone (808) 382-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT2708HIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates, LLC Endodontics CurrentSince Jun 25, 2023 Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 208
Honolulu, HI 96814
Phone (808) 591-1515

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1063934602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144400",
            "telephone_number": "808-382-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144400",
            "telephone_number": "808-591-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INABA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "DT2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 13, 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.