Active NPI
Edmund Wah on Akioka, DDS
- General Practice Dentistry
- Honokaa, HI
National Provider Identifier
1295892545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1249
- Practice address
- 45 497B Ilima St
Honokaa, HI 96727 - Phone
- (808) 775-0624
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- 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 | 1249 | HI | Primary |
Addresses
Primary practice location
45 497B Ilima St
Honokaa, HI 96727
Mailing address
PO Box 1455
Honokaa, HI 96727-1455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16022 | Other | HI | HMSA DENTAL INSURANCE |
| 78568 | Other | HI | HDS DELTA DENTAL INSURANC |
| 01495901 | Medicaid | HI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1249 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295892545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1455",
"city": "HONOKAA",
"state": "HI",
"postal_code": "967271455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 497B ILIMA ST",
"city": "HONOKAA",
"state": "HI",
"postal_code": "96727",
"telephone_number": "808-775-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKIOKA",
"first_name": "EDMUND",
"middle_name": "WAH ON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "1249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA DENTAL INSURANCE",
"identifier": "16022",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HDS DELTA DENTAL INSURANC",
"identifier": "78568",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01495901",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honokaa, 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.