Active NPI
Staphe T. Fujimoto, D.D.S., Inc.
- General Practice Dentistry
- Mililani, HI
National Provider Identifier
1083847669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- STAPHE T. FUJIMOTO, D.D.S., INC.
- Practice address
- 95-720 Lanikuhana Ave
230
Mililani, HI 96789-2985 - Phone
- (808) 625-6333
- Fax
- (808) 625-6640
- NPI assigned
- Aug 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Staphe T. Fujimoto, D.D.S.
- Title
- President
- Phone
- (808) 625-6333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
95-720 Lanikuhana Ave
230
Mililani, HI 96789-2985
Mailing address
95-720 Lanikuhana Ave
230
Mililani, HI 96789-2985
Phone (808) 625-6333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805457 | Other | UNITED CONCORDIA | |
| C0021406 | Other | HMSA |
National Provider Directory
National Provider DirectoryLocations
95-720 Lanikuhana Ave
Ste 230
Mililani, HI 96789
Phone (808) 625-6333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mililani, HI
- NPI 1487798005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251417600000",
"number": "1083847669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-720 LANIKUHANA AVE",
"address_2": "230",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892985",
"telephone_number": "808-625-6333",
"fax_number": "808-625-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-720 LANIKUHANA AVE",
"address_2": "230",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892985",
"telephone_number": "808-625-6333",
"fax_number": "808-625-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAPHE T. FUJIMOTO, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A",
"authorized_official_last_name": "FUJIMOTO",
"authorized_official_first_name": "STAPHE",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-625-6333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "805457",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "C0021406",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.