Individual provider Active NPI

Gregory Kazuo Kobayashi, D.D.S.

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1205948346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
961 Issued in HI
Practice address
280 Ponahawai St
Hilo, HI 96720-3075
Phone
(808) 935-4845
Fax
(808) 969-9413
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 961 HI Primary

Addresses

Primary practice location

280 Ponahawai St
Hilo, HI 96720-3075

Mailing address

280 Ponahawai St
Hilo, HI 96720-3075
Phone (808) 935-4845

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
I20150427002454 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305165234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205948346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PONAHAWAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203075",
            "telephone_number": "808-935-4845",
            "fax_number": "808-969-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PONAHAWAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203075",
            "telephone_number": "808-935-4845",
            "fax_number": "808-969-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAYASHI",
        "first_name": "GREGORY",
        "middle_name": "KAZUO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.