Individual provider Active NPI

Scott Ryan Hiramoto, DDS

  • Dentist
  • Aiea, HI
National Provider Identifier
1285049395
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT-2615 Issued in HI
Practice address
98-1247 Kaahumanu St Ste 321
Aiea, HI 96701-5377
Phone
(808) 487-5596
NPI assigned
Jun 26, 2014
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT-2615 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St Ste 321
Aiea, HI 96701-5377

Mailing address

98-1247 Kaahumanu St Ste 321
Aiea, HI 96701-5377
Phone (808) 487-5596

Other practice location 1

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-4292

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
I20151203002791 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173823754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-2615HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aiea Newtown Dental Group, LLC Current Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 321
Aiea, HI 96701
Phone (808) 391-2219

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1285049395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 321",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015377",
            "telephone_number": "808-487-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 321",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015377",
            "telephone_number": "808-487-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Punchbowl St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132402",
            "country_code": "US",
            "telephone_number": "808-691-4292",
            "fax_number": "808-691-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRAMOTO",
        "first_name": "SCOTT",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.