Clyde S. Umaki, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

813 Issued in HI

Practice address

1833 S Beretania St
Honolulu, HI 96826-1307

Phone

(808) 955-2275

Fax

(808) 942-4608

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Periodontal & Implant Associates of Hawaii

  • Periodontics
  • Honolulu, HI
  • NPI 1760624761
  NPD (past) Authorized official

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1083891410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261307",
            "telephone_number": "808-955-2275",
            "fax_number": "808-942-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261307",
            "telephone_number": "808-955-2275",
            "fax_number": "808-942-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAKI",
        "first_name": "CLYDE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Wayne Ulibas, LMT
• Ciara Racquel Ulloa
• Ultimate Foot Store, Inc
• Tui L. Ulu, LCSW, CSAC, ICADC
• Uluwehi Wellness LLC
• Michael RC Umaki, D.D.S.
• Tracie Marie Umaki, PSY.D.
• Gary T Umeda, DDS
• Tanya Umeda
• Sari Umekawa, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.