Active NPI
Harvey Tsutoma Misaki, DDS
- Dentist
- Wahiawa, HI
National Provider Identifier
1356450084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1419
- Practice address
- 133 Westervelt Street
Wahiawa, HI 96786-1929 - Phone
- (808) 621-8677
- Fax
- (808) 621-7537
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1419 | HI | Primary |
Addresses
Primary practice location
133 Westervelt Street
Wahiawa, HI 96786-1929
Mailing address
133 Westervelt Street
Wahiawa, HI 96786-1929
Phone (808) 621-8677
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791890 | Other | UNITED CONCORDIA | |
| B23420 | Medicaid | HI | |
| B23420 | Other | HI | HI MEDICAL SERVICE ASSOC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150730012235 | HI | Order and Referring Only - Dentist | 0840504122 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finn-White DDS Inc. | 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.
-
- General Practice Dentistry
- Wahiawa, HI
- NPI 1366594327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356450084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 WESTERVELT STREET",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967861929",
"telephone_number": "808-621-8677",
"fax_number": "808-621-7537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 WESTERVELT STREET",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967861929",
"telephone_number": "808-621-8677",
"fax_number": "808-621-7537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISAKI",
"first_name": "HARVEY",
"middle_name": "TSUTOMA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "1419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "791890",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B23420",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI MEDICAL SERVICE ASSOC.",
"identifier": "B23420",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wahiawa, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.