Individual provider Active NPI

Errol Yim, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kaneohe, HI
National Provider Identifier
1275752123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
835 Issued in HI
Practice address
45-939 Kamehameha Hwy Ste 103
Kaneohe, HI 96744-3221
Phone
(808) 247-6039
Fax
(808) 247-3643
NPI assigned
Apr 25, 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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 835 HI Primary

Addresses

Primary practice location

45-939 Kamehameha Hwy Ste 103
Kaneohe, HI 96744-3221

Mailing address

45-939 Kamehameha Hwy Ste 103
Kaneohe, HI 96744-3221
Phone (808) 247-6039

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
I20150911000575 HI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9234446071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
835HIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275752123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-939 KAMEHAMEHA HWY STE 103",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443221",
            "telephone_number": "808-247-6039",
            "fax_number": "808-247-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-939 KAMEHAMEHA HWY STE 103",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443221",
            "telephone_number": "808-247-6039",
            "fax_number": "808-247-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "ERROL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.