Organization Active NPI

Rodney N. Nishimoto, DMD, MD, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
National Provider Identifier
1225619505
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RODNEY N. NISHIMOTO, DMD, MD, LLC
Practice address
900 Punahou St Ste 101
Honolulu, HI 96826-2500
Phone
(808) 949-8681
Fax
(808) 949-2488
NPI assigned
Apr 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Rodney Nakano Nishimoto, DMD, MDNPI 1386037570
Title
Member
Phone
(808) 739-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

900 Punahou St Ste 101
Honolulu, HI 96826-2500

Mailing address

900 Punahou St Ste 101
Honolulu, HI 96826-2500
Phone (808) 949-8681

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1225619505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PUNAHOU ST STE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262500",
            "telephone_number": "808-949-8681",
            "fax_number": "808-949-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PUNAHOU ST STE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262500",
            "telephone_number": "808-949-8681",
            "fax_number": "808-949-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY N. NISHIMOTO, DMD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "NISHIMOTO",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "NAKANO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-739-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.