Jason H. Ikeno D.D.S. Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1819 Issued in HI

Legal business name

JASON H. IKENO D.D.S. INC

Practice address

94-216 Farrington Hwy
Suite 330
Waipahu, HI 96797-1922

Phone

(808) 676-1520

Fax

(808) 676-1921

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason H. Ikeno, D.D.S.NPI 1013045954

Title

President

Phone

(808) 676-1520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Hanji Ikeno, D.D.S.

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1013045954
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1285854810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "address_2": "SUITE 330",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-676-1520",
            "fax_number": "808-676-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "address_2": "SUITE 330",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-676-1520",
            "fax_number": "808-676-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON H. IKENO D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "IKENO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-676-1520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24459501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaco Rehab Waikele Limited Partnership
• Jaco Rehab Waikele LLC
• Kimberly Jacobson
• Vicki James
• Ryan Jaramillo, PT
• Mary Grace Cabbab Javier
• Tracey Anne Fabello Javier
• Celeste Jeffery
• Jessie Jeffries
• Nichole Mahealani Jennings

• General Practice Dentistry in Waipahu, HI
• Providers in Waipahu, 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 Oct 1, 2009; 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.