Organization Active NPI

Tina N. Tom, DDS a Professional Corporation

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1396097259
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT1704 Issued in HI
Legal business name
TINA N. TOM, DDS A PROFESSIONAL CORPORATION
Practice address
1600 Kapiolani Blvd Ste 807
Honolulu, HI 96814-3802
Phone
(808) 778-4929
NPI assigned
Oct 2, 2012
Organization subpart
Yes
Parent organization
TINA N. TOM, DDS A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Tina N Tom, DDS
Title
President/Owner
Phone
(808) 778-4929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DT1704 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 807
Honolulu, HI 96814-3802

Mailing address

1600 Kapiolani Blvd Ste 807
Honolulu, HI 96814-3802
Phone (808) 778-4929

National Provider Directory

National Provider Directory
Part of
Tina N Tom DDS a Professional Corporation

Locations

1600 Kapiolani Blvd
Ste 807
Honolulu, HI 96814
Phone (808) 778-4929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1396097259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 807",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143802",
            "telephone_number": "808-778-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 807",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143802",
            "telephone_number": "808-778-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA N. TOM, DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TINA N. TOM, DDS A PROFESSIONAL CORPORATION",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-778-4929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 2, 2012; 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.