Island Oral and Maxillofacial Surgery, L.L.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ISLAND ORAL AND MAXILLOFACIAL SURGERY, L.L.C.

Practice address

338 Kamokila Blvd Ste 203
Kapolei, HI 96707-2055

Phone

(808) 674-2255

Fax

(808) 674-1771

NPI assigned

Jun 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Scott Abraham, DDS, MDNPI 1821130576

Title

Owner

Phone

(808) 674-2255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Island Oral and Maxillofacial Surgery Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew S. Abraham, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Kapolei, HI
  • NPI 1821130576
  NPD Authorized official

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1093374696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD STE 203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-674-2255",
            "fax_number": "808-674-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD STE 203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-674-2255",
            "fax_number": "808-674-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ORAL AND MAXILLOFACIAL SURGERY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-674-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "629694",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@iomshawaii.com",
            "affiliation": "N",
            "address_1": "338 Kamokila Blvd Ste 203",
            "city": "Kapolei",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967072055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Island Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Mei Oi Kawamoto Ishikawa, DPT
• Grace Marie Sajor Isidro, LMT
• Island Behavioral Health LLC
• Island Functional Medicine LLC
• Island Integrative Medicine LLC
• Tara Ito
• Dennis Paul Itoga
• Marcus K. Iwane, M.D.
• Jarin Tsuyoshi Iwata, BCBA, LBA
• Jennifer S Iyo, DPT

• Oral and Maxillofacial Surgery (Dentist) in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.