Active NPI
Ryan Takeshi Inouye, D.D.S.
- General Practice Dentistry
- Waimanalo, HI
National Provider Identifier
1295139988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT2562
- Practice address
- 41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247 - Phone
- (808) 259-5466
- Fax
- (808) 954-7144
- NPI assigned
- Oct 9, 2014
- Last updated
- Oct 9, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT2562 | HI | Primary |
Addresses
Primary practice location
41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Mailing address
41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Phone (808) 259-5466
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 |
|---|---|---|---|---|
| I20160115002296 | HI | Order and Referring Only - Dentist | 9830492362 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2562 | HI | MD | General Practice Dentistry |
Interoperability endpoints
- ryantinouyedds@waimanalosmiles.directde.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1295139988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-1347 KALANIANAOLE HWY",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951247",
"telephone_number": "808-259-5466",
"fax_number": "808-954-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-1347 KALANIANAOLE HWY",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951247",
"telephone_number": "808-259-5466",
"fax_number": "808-954-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOUYE",
"first_name": "RYAN",
"middle_name": "TAKESHI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT2562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waimanalo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.