NPIMap

Organization Active NPI

Ken M Yamashiro DDS Inc

  • Dentist
  • Hilo, HI
National Provider Identifier
1336405091
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KEN M YAMASHIRO DDS INC
Practice address
1142 Kinoole St
Hilo, HI 96720-4132
Phone
(808) 961-3911
Fax
(808) 933-9293
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Ken Yamashiro, BA, DDSNPI 1861765604
Title
President, Treasurer
Phone
(808) 961-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1142 Kinoole St
Hilo, HI 96720-4132

Mailing address

1142 Kinoole St
Hilo, HI 96720-4132
Phone (808) 961-3911

National Provider Directory

National Provider Directory

Locations

1142 Kinoole St
Hilo, HI 96720
Phone (808) 961-3911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1336405091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204132",
            "telephone_number": "808-961-3911",
            "fax_number": "808-933-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204132",
            "telephone_number": "808-961-3911",
            "fax_number": "808-933-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN M YAMASHIRO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "YAMASHIRO",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT, TREASURER",
        "authorized_official_telephone_number": "808-961-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA, DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.