Individual provider Active NPI

Hideki P. Kurokawa, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1265586713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1446 Issued in HI
Practice address
1060 Young St
Suite 212
Honolulu, HI 96814-1609
Phone
(808) 538-0047
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1446 HI Primary

Addresses

Primary practice location

1060 Young St
Suite 212
Honolulu, HI 96814-1609

Mailing address

1060 Young St
Suite 212
Honolulu, HI 96814-1609
Phone (808) 538-0047

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150811003920 HI Order and Referring Only - DentistPractitioner - Dentist 1254651227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1446HIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265586713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST",
            "address_2": "SUITE 212",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-538-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST",
            "address_2": "SUITE 212",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-538-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROKAWA",
        "first_name": "HIDEKI",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.