Jordan Takaki, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DT2647 Issued in HI

Practice address

850 Kamehameha Hwy Ste 260
Pearl City, HI 96782-2690

Phone

(808) 456-4555

NPI assigned

Aug 1, 2012

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

State licenses

Practice roles

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

• Wahiawa Family Dental Care, LLP

  • General Practice Dentistry
  • Wahiawa, HI
  • NPI 1932288008
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1184970758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY STE 260",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY STE 260",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822690",
            "telephone_number": "808-456-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 California Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wahiawa",
            "state": "HI",
            "postal_code": "967861841",
            "country_code": "US",
            "telephone_number": "808-622-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKAKI",
        "first_name": "JORDAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2647",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevie- Sky Strandley
• Alan K K Sue, D.D.S.
• Gloria Suniga, LMT
• Rina Supnet
• Imee Tameta Taimanao, RN
• Joanne C. Takara, O.D.
• Robbyn K Takeuchi, LCSW
• Arthur Talaeai
• Talk Story Counseling LLC
• Cynthia C Tamura, M.S., CCC-SLP

• Dentist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.