Keith H Zukeran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1696 Issued in HI

Practice address

1150 S King St
Suite 607
Honolulu, HI 96814-1922

Phone

(808) 596-2400

NPI assigned

Mar 1, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: keith.zukeran.p1@direct.wcchc.nextgenshare.com

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366570178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S. KING ST.",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-596-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S KING ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141922",
            "telephone_number": "808-596-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKERAN",
        "first_name": "KEITH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "1696",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C7959-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise A Zitnik, M.D., PH.D.
• Sarah Jane Zolper, M.S. CCC-SLP
• Maria Elena Zucker
• Richard Michael Zucker, L.AC.
• Scott R Zucker
• Satomi Fujii Zukeran, M.D.
• Gemma Alia Zunin
• Ira D Zunin II, M.D., M.P.H.
• Gerardo Zurita
• Christopher Zyra, PA-C

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.