Brendt-Alexander J. M. a. Lum, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2453 Issued in HI

Practice address

45-880 Kamehameha Hwy Ste 102
Kaneohe, HI 96744-2969

Phone

(808) 247-5373

Fax

(808) 235-6671

NPI assigned

Apr 13, 2012

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brendt.lum.p1@direct.wcchc.nextgenshare.com

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

• Brendt Lum, DDS LLC

  • Dental Clinic/Center
  • Kaneohe, HI
  • NPI 1386376481
  NPD
• David M Iwasaki DDS Inc

  • General Practice Dentistry
  • Kaneohe, HI
  • NPI 1831424589
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1114284205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-880 KAMEHAMEHA HWY STE 102",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442969",
            "telephone_number": "808-247-5373",
            "fax_number": "808-235-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-880 KAMEHAMEHA HWY STE 102",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442969",
            "telephone_number": "808-247-5373",
            "fax_number": "808-235-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86-260 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967923128",
            "country_code": "US",
            "telephone_number": "808-697-3496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "BRENDT-ALEXANDER",
        "middle_name": "J. M. A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Dela Vega Losbog, LCSW
• Sharon Jan Lowrie, M.D.
• Nathan Lowry, PT
• Betsy Lu
• Melissa Ludwig
• Lauren Lum, DPT
• Sonia Lumabao I
• Luxottica of America Inc. (Lencrafters #616)
• Luxottica Retail North America Inc (Sears Optical #1089)
• M L Lawson MD LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.