Individual provider Active NPI

Mary Jane D.R. Takemoto

  • Dental Hygienist
  • Jbphh, HI
National Provider Identifier
1245643667
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH-1027 Issued in HI
Practice address
1253 Makalapa Gate Rd
Jbphh, HI 96860-4479
Phone
(808) 473-1880
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH-1027 HI Primary

Addresses

Primary practice location

1253 Makalapa Gate Rd
Jbphh, HI 96860-4479

Mailing address

4323 Laakea St
Honolulu, HI 96818-1966
Phone (808) 422-4420

Other names 1

  • Mrs. Mary Jane D.R. Tuvera-Talemoto Professional name

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
DH-1027HIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1245643667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 LAAKEA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968181966",
            "telephone_number": "808-422-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 MAKALAPA GATE RD",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604479",
            "telephone_number": "808-473-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEMOTO",
        "first_name": "MARY JANE",
        "middle_name": "D.R.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "DH-1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JANE",
            "last_name": "TUVERA-TALEMOTO",
            "middle_name": "D.R.",
            "prefix": "MRS.",
            "credential": "R.D.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jbphh, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.