Individual provider Active NPI

Terrance Tajima, D.D.S.

  • General Practice Dentistry
  • Kaneohe, HI
National Provider Identifier
1093714537
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1190 Issued in HI
Practice address
45-1144 Kamehameha Hwy
#406
Kaneohe, HI 96744-3244
Phone
(898) 247-5961
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT-1190 HI Primary

Addresses

Primary practice location

45-1144 Kamehameha Hwy
#406
Kaneohe, HI 96744-3244

Mailing address

45-1144 Kamehameha Hwy
#406
Kaneohe, HI 96744-3244

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150709001903 HI Order and Referring Only - DentistPractitioner - Dentist 9931411543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-1190HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093714537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "#406",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "#406",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244",
            "telephone_number": "898-247-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJIMA",
        "first_name": "TERRANCE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.