Dr. Jeffrey K. Manago,DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1877 Issued in HI

Legal business name

DR. JEFFREY K. MANAGO,DDS INC

Practice address

615 Piikoi St
#1807
Honolulu, HI 96814-3116

Phone

(808) 592-0333

Fax

(808) 592-0335

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By 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

Dr. Jeffrey K Manago, DDSNPI 1780808360

Title

President

Phone

(808) 592-0333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Kazutaka Manago, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1780808360
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1083936694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "#1807",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-592-0333",
            "fax_number": "808-592-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "#1807",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-592-0333",
            "fax_number": "808-592-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFFREY K. MANAGO,DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "MANAGO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-592-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.