Glenn M Okumoto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1024 Issued in HI

Practice address

1700 Lanakila Ave
Honolulu, HI 96817

Phone

(808) 832-5710

Fax

(808) 832-5722

NPI assigned

Nov 10, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285615831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94309 WAIMAKA ST",
            "city": "MILLANI",
            "state": "HI",
            "postal_code": "96789",
            "telephone_number": "808-625-7062",
            "fax_number": "808-832-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LANAKILA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-832-5710",
            "fax_number": "808-832-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUMOTO",
        "first_name": "GLENN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06784701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Okuda
• Wynn H. Okuda, DMD
• Yoko Okuda
• Kim Okuhara
• Clifford I Okumoto, MD
• Aya Okumura, LCSW
• Jesse Okumura
• Sada Okumura, M.D.
• Okupu LLC
• Yuko K Okure

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.