Individual provider Active NPI

Jonathan Okabe, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1275740649
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
998 Issued in HI
Practice address
3425 Ala Hinalo PL
Honolulu, HI 96818-2225
Phone
(808) 833-1704
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 998 HI Primary

Addresses

Primary practice location

3425 Ala Hinalo PL
Honolulu, HI 96818-2225

Mailing address

3425 Ala Hinalo PL
Honolulu, HI 96818-2225
Phone (808) 833-1704

Other practice location 1

1221 Kapiolani Blvd
suite 620
Honolulu, HI 96814-3503
Phone (808) 596-0837

Other identifiers 2

IdentifierTypeStateIssuer
Z8780-0OtherHIHMSA NUMBER
998OtherHISTATE LICENSE

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150227001432 HI Order and Referring Only - Other (Non-Physician) 7315263837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
998HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Dental Clinic LLC Past Accepting new patients
Jonathan C. Okabe DDS Inc General Practice Past Accepting new patients

Organizations & group practices 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275740649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 ALA HINALO PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182225",
            "telephone_number": "808-833-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 ALA HINALO PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182225",
            "telephone_number": "808-833-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Kapiolani Blvd",
            "address_2": "suite 620",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968143503",
            "country_code": "US",
            "telephone_number": "808-596-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKABE",
        "first_name": "JONATHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA NUMBER",
            "identifier": "Z8780-0",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "998",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.