Mark Yoshito Muramoto, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DT1584 Issued in HI

Practice address

76-6225 Kuakini Hwy
Ste B 203
Kailua Koma, HI 96740

Phone

(808) 329-6167

Fax

(808) 334-0205

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mark.muramoto.1@23954.direct.athenahealth.com

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.

• Molokai Ohana Health Care, Inc.

  dba Molokai Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kaunakakai, HI
  • NPI 1770570780
  Medicare reassignment NPD
• Kona 'Ohana Dental, Inc.

  • Dentist
  • Kailua Kona, HI
  • NPI 1801037585
  Authorized official Same address or phone
• Molokai Ohana Health Care, Inc.

  dba Molokai Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kaunakakai, HI
  • NPI 1336805621
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265535801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "STE B 203",
            "city": "KAILUA KOMA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-329-6167",
            "fax_number": "808-334-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "STE B 203",
            "city": "KAILUA KOMA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-329-6167",
            "fax_number": "808-334-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAMOTO",
        "first_name": "MARK",
        "middle_name": "YOSHITO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Muramoto, BDS LONDON

• Dentist in Kailua Koma, HI
• Providers in Kailua Koma, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.