Glenn Y. Takaki DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DT2107 Issued in HI

Legal business name

GLENN Y. TAKAKI DDS LLC

Practice address

98-211 Pali Momi St
Suite 737
Aiea, HI 96701-4301

Phone

(808) 487-1554

Fax

(877) 420-4686

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Takaki

Title

Ceo

Phone

(808) 352-3134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1093166407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 737",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-487-1554",
            "fax_number": "877-420-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 737",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-487-1554",
            "fax_number": "877-420-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN Y. TAKAKI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "TAKAKI",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-352-3134",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Gibson
• Dinora Gil, MD
• Harriet Gilman
• Jorena Gilo
• Shalyne Gitahi
• Romey Glidewell, FNP-C
• Danielle Goguen
• Kulaolena Goldstein
• Chloe Goldsworthy
• Tiffany Kuuleilani Gollero, NP

• Dentist in Aiea, HI
• Providers in Aiea, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.