Russell Jun Sung Tom, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

H01006809 Issued in HI

Practice address

1481 S King St Ste 504
Honolulu, HI 96814-2605

Phone

(808) 944-1001

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205974177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST STE 504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142605",
            "telephone_number": "808-944-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST STE 504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142605",
            "telephone_number": "808-944-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "RUSSELL",
        "middle_name": "JUN SUNG",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "H01006809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick M Tom, PTA
• Paul C Tom, PHARM.D
• Philip K. B. Tom, D.D.S.
• Richard D Tom, MD
• Rosemarie Tom, CCC-SLP
• Sunae Tom, PHARM.D.
• Ryan Toma
• Elbert Yukimitsu Tomai, M.D.
• Billionard Tomas, BA
• Jordan Tomas, BSN, RN, MN

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.