Jay T. Kanegawa, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1365 Issued in HI

Practice address

99-155 Moanalua Road
Aiea, HI 96701-4009

Phone

(808) 488-4017

Fax

(808) 487-3060

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Jay T Kanegawa DMD Inc

  dba Aiea Family Dental

  • General Practice Dentistry
  • Aiea, HI
  • NPI 1720727993
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336234749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-155 MOANALUA ROAD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014009",
            "telephone_number": "808-488-4017",
            "fax_number": "808-487-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-155 MOANALUA ROAD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014009",
            "telephone_number": "808-488-4017",
            "fax_number": "808-487-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEGAWA",
        "first_name": "JAY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020195-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Rei Kajiwara, M.D.
• Sean Kakigi, AU.D.
• Kay-Lynn Kamae-Kaopuiki
• Curtis Naoji Kamisugi, DDS, MSD
• Ranjini Kandasamy, M.D.
• Branden Kaneshiro
• Craig M. Kaneshiro, DDS
• Martin M. Kaneshiro, DDS
• Janis T Kang, CCC-SLP
• Kaichu Kang

• General Practice Dentistry in Aiea, HI
• Providers in Aiea, 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 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.