Active NPI
Scott Ryan Hiramoto, DDS
- Dentist
- Aiea, HI
National Provider Identifier
1285049395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-2615
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151203002791 | HI | Order and Referring Only - Oral Surgery | 3173823754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-2615 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Aiea, HI
- NPI 1609655463
-
- Dental Clinic/Center
- Aiea, HI
- NPI 1679939631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.