Individual provider Active NPI

Julia Nishioka, D.D.S.

  • Dentist
  • Pearl City, HI
National Provider Identifier
1235506031
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT2809 Issued in HI
Practice address
719 Kam Hwy Ste A201
Pearl City, HI 96782-2771
Phone
(808) 455-3485
Fax
(808) 455-6066
NPI assigned
Aug 27, 2015
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64675 CA
Dentist 122300000X DT2809 HI Primary

Addresses

Primary practice location

719 Kam Hwy Ste A201
Pearl City, HI 96782-2771

Mailing address

719 Kam Hwy Ste A201
Pearl City, HI 96782-2771
Phone (808) 455-3485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64675CAMDDentist
DT2809HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nishioka Family Dental CurrentSince Oct 5, 2021 Accepting new patients
Foroud Hakim, DDS, Inc Past Accepting new patients
Excellence Dental Group a Partnership of Dr.Hakim, Inc & Dr.Patel, Inc Past Accepting new patients

Locations

719 Kamehameha Hwy
Ste A201
Pearl City, HI 96782
Phone (808) 455-3485

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1235506031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 KAM HWY STE A201",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822771",
            "telephone_number": "808-455-3485",
            "fax_number": "808-455-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 KAM HWY STE A201",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822771",
            "telephone_number": "808-455-3485",
            "fax_number": "808-455-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIOKA",
        "first_name": "JULIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64675",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.