Active NPI
Floyd Masaru Tanoue, D.D.S.
- General Practice Dentistry
- Aiea, HI
National Provider Identifier
1295940344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1130
- Practice address
- 99-128 Aiea Heights Dr
Suite 503
Aiea, HI 96701-3925 - Phone
- (808) 488-8456
- Fax
- (808) 486-7974
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1130 | HI | Primary |
Addresses
Primary practice location
99-128 Aiea Heights Dr
Suite 503
Aiea, HI 96701-3925
Mailing address
99-128 Aiea Heights Dr
Suite 503
Aiea, HI 96701-3925
Phone (808) 488-8456
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 |
|---|---|---|---|
| 1130 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295940344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR",
"address_2": "SUITE 503",
"city": "AIEA",
"state": "HI",
"postal_code": "967013925",
"telephone_number": "808-488-8456",
"fax_number": "808-486-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR",
"address_2": "SUITE 503",
"city": "AIEA",
"state": "HI",
"postal_code": "967013925",
"telephone_number": "808-488-8456",
"fax_number": "808-486-7974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANOUE",
"first_name": "FLOYD",
"middle_name": "MASARU",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "1130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiea, 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.