Individual provider Active NPI

Dana Adachi, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1245799642
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-2878 Issued in HI
Practice address
715 S King St Ste 425
Honolulu, HI 96813-3021
Phone
(808) 521-4421
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DT-2878 HI Primary

Addresses

Primary practice location

715 S King St Ste 425
Honolulu, HI 96813-3021

Mailing address

715 S King St Ste 425
Honolulu, HI 96813-3021
Phone (808) 521-4421

Other practice location 1

1100 N. State Street
Clinic Tower, Dept of Dentistry, Rm A3C
Los Angeles, CA 90033
Phone (323) 409-5015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 18, 2022 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT-2878HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Adachi, DMD Inc General Practice PastSince Mar 4, 2021 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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1245799642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S KING ST STE 425",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133021",
            "telephone_number": "808-521-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S KING ST STE 425",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133021",
            "telephone_number": "808-521-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N. State Street",
            "address_2": "Clinic Tower, Dept of Dentistry, Rm A3C",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90033",
            "country_code": "US",
            "telephone_number": "323-409-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADACHI",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.