Individual provider Active NPI

Tracy N Tanji, D.D.S.

  • General Practice Dentistry
  • Waipahu, HI
National Provider Identifier
1225056500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1366 Issued in HI
Practice address
94-873 Farrington Hwy
Suite #202
Waipahu, HI 96797-3150
Phone
(808) 677-4041
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

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 1366 HI Primary

Addresses

Primary practice location

94-873 Farrington Hwy
Suite #202
Waipahu, HI 96797-3150

Mailing address

94-873 Farrington Hwy
Suite #202
Waipahu, HI 96797-3150
Phone (808) 677-4041

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
I20150624001575 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022329556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1366HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John M. Tanji, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225056500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY",
            "address_2": "SUITE #202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-677-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY",
            "address_2": "SUITE #202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-677-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANJI",
        "first_name": "TRACY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.