Individual provider Active NPI

Byron Tsukano, D.D.S.

  • General Practice Dentistry
  • Wailuku, HI
National Provider Identifier
1295865756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT1789 Issued in HI
Practice address
1371 Lower Main St
Unit 5
Wailuku, HI 96793-1945
Phone
(808) 243-2277
Fax
(808) 242-4466
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT1789 HI Primary

Addresses

Primary practice location

1371 Lower Main St
Unit 5
Wailuku, HI 96793-1945

Mailing address

1371 Lower Main Street
Unit 5
Wailuku, HI 96793-1961
Phone (808) 243-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT1789HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Byron Tsukano, DDS Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295865756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 LOWER MAIN STREET",
            "address_2": "UNIT 5",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931961",
            "telephone_number": "808-243-2277",
            "fax_number": "808-242-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 LOWER MAIN ST",
            "address_2": "UNIT 5",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931945",
            "telephone_number": "808-243-2277",
            "fax_number": "808-242-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUKANO",
        "first_name": "BYRON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.