Scott Joseph Gomez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1377 Issued in HI

Practice address

98-1268 Kaahumanu St.
Ste. #2C-3
Pearl City, HI 96782-3257

Phone

(808) 486-4746

Fax

(808) 487-9134

NPI assigned

Aug 2, 2006

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215944178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1268 KAAHUMANU ST.",
            "address_2": "STE. #2C-3",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823257",
            "telephone_number": "808-486-4746",
            "fax_number": "808-487-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1268 KAAHUMANU ST.",
            "address_2": "STE. #2C-3",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823257",
            "telephone_number": "808-486-4746",
            "fax_number": "808-487-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Wilbur Giorgio, M.D.
• Glenn M. Okihiro, D.D.S., Inc.
• Joshua Matthew Godsey, IDC
• Francis Keliinani Gomes, ATC
• Benjamin Jacob Gomez, IDC
• Samantha Gonzalez, PHARM D
• Erika Gutierrez
• Jennifer Haldane
• Glenn Hanada, DMD
• Khunalai Hanamoto, MAT

• General Practice Dentistry in Pearl City, HI
• Providers in Pearl City, 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.