Organization Active NPI

Project Vision Hawaii

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1376339986
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROJECT VISION HAWAII
Practice address
200 N Vineyard Blvd Ste B-120
Honolulu, HI 96817-3950
Phone
(808) 201-3937
Fax
(833) 941-2390
NPI assigned
Apr 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Renae D Mathson
Title
Director of Business Development
Phone
(808) 430-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 N Vineyard Blvd Ste B-120
Honolulu, HI 96817-3950

Mailing address

PO Box 23212
Honolulu, HI 96823-3212
Phone (808) 201-3937

Other identifiers 1

IdentifierTypeStateIssuer
000068MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dentalteam@projectvisionhawaii.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Project Vision Hawaii5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23277/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1376339986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23212",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233212",
            "telephone_number": "808-201-3937",
            "fax_number": "833-941-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE B-120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-201-3937",
            "fax_number": "833-941-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT VISION HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "MATHSON",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF  BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "808-430-0388"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000068",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dentalteam@projectvisionhawaii.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 N Vineyard Blvd Ste B-120",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968173950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.