Sonia Q Cosio, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

1464 Issued in HI

Practice address

803 Kamehameha Hwy
Suite 300
Pearl City, HI 96782

Phone

(808) 455-7400

Fax

(808) 456-2622

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376626499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY",
            "address_2": "SUITE 300",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-455-7400",
            "fax_number": "808-456-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY",
            "address_2": "SUITE 300",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "96782",
            "telephone_number": "808-455-7400",
            "fax_number": "808-456-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSIO",
        "first_name": "SONIA",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01889701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "146101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "J20245",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compass Medical Supply
• Madison Cook, AUD
• Carey-Anne Cooper, BC-HIS
• Graham Michael Cormack, M.D.
• Jeremiah Jay Cortes, RN
• Jessica Cruz, MAT
• Symphonie K Cubit
• Ryan P. Dang, D.D.S.
• David C. Ching,D.M.D.,LLC
• David S Haynes DMD Inc

• All providers in Pearl City, HI
• Dentist 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.