Individual provider Active NPI

Franklin M. Fukuda, D.M.D.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1073656773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1095 Issued in HI
Practice address
3221 Waialae Ave Ste 315
Honolulu, HI 96816-5845
Phone
(808) 737-7905
Fax
(808) 737-7988
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1095 HI Primary

Addresses

Primary practice location

3221 Waialae Ave Ste 315
Honolulu, HI 96816-5845

Mailing address

3221 Waialae Ave Ste 315
Honolulu, HI 96816-5845
Phone (808) 737-7905

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
I20150901000753 HI Order and Referring Only - DentistPractitioner - Dentist 6204142540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaimuki Dental Group, L.L.P. Past Accepting new patients

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073656773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 315",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-737-7905",
            "fax_number": "808-737-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 315",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165845",
            "telephone_number": "808-737-7905",
            "fax_number": "808-737-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUDA",
        "first_name": "FRANKLIN",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.