Andrew Ho'Ola'Iku Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2729 Issued in HI

Practice address

848 S Beretania St Ste 304
Honolulu, HI 96813-2551

Phone

(808) 531-5071

Fax

(808) 536-1424

NPI assigned

Feb 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Niko Niko Family Dentistry LLC

  • Dental Clinic/Center
  • Honolulu, HI
  • NPI 1215670104
  NPD Authorized official
• Jet Dental of Hawaii LLC

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1528932654
  NPD
• Kent Sato DMD

  • Dentist
  • Honolulu, HI
  • NPI 1790219343
  NPD (past)

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1366981938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST STE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-531-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST STE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-531-5071",
            "fax_number": "808-536-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "HO'OLA'IKU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2729",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Muir Magnetic Imaging Center
• John S Spangler MD LLC
• John S. Chock, LLC
• John Ward LLC
• Ahi Johnson, MFT
• Anne Kiyoko Johnson, M.S., CCC-SLP
• Arikka Price Johnson, MFT
• Bryan A Johnson, NP
• Carrie Johnson, LMHC, MSCP
• Christopher W. Johnson, MD

• Dentist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.