Tokunaga Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DT 1529 Issued in HI

Legal business name

TOKUNAGA FAMILY DENTISTRY LLC

Practice address

91-902 Fort Weaver Rd Ste 208
Ewa Beach, HI 96706-2261

Phone

(808) 689-7964

Fax

(808) 689-0909

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Modesta Gaerlan-Tokunaga, DDS

Title

Owner

Phone

(808) 689-7964

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285711424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD STE 208",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-7964",
            "fax_number": "808-689-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD STE 208",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-7964",
            "fax_number": "808-689-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOKUNAGA FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAERLAN-TOKUNAGA",
        "authorized_official_first_name": "MODESTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-689-7964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "DT 1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041315",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Queen'S Medical Center
• The Queen'S Medical Center
• The Queens Medical Center
• Michele Nani Alii Theis
• Candace Thomson-Bott
• Camden Joji Gaerlan Tokunaga, DDS
• Suzanne Torres
• Kate Trachte
• Karen Trachtenberg, M.S. CCC-SLP
• Lynur Pananganan Transfiguracion

• Dental Clinic/Center in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.