Active NPI
Tupou Takayawa, BDS
- Dentist
- Pago Pago, AS
National Provider Identifier
1396693016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001C
- Practice address
- 1 Dr. Paul Turner Drive
1 Dr. Paul Turner Drive
Pago Pago, AS 96799 - Phone
- (684) 633-1222
- NPI assigned
- Mar 18, 2026
- Last updated
- May 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001C | AS | Primary |
Addresses
Primary practice location
1 Dr. Paul Turner Drive
1 Dr. Paul Turner Drive
Pago Pago, AS 96799
Mailing address
1 Dr. Paul Turner Drive
Pago Pago, AMERICAN SAMOA 96799
UM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001C | AS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LBJ Home Health Services | Past | Accepting new patients | |
| LBJ Dmepos | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- NPI 1336071539
-
- Home Health Agency
- NPI 1104763960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1396693016",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1 DR. PAUL TURNER DRIVE",
"city": "PAGO PAGO",
"state": "AMERICAN SAMOA",
"postal_code": "96799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DR. PAUL TURNER DRIVE",
"address_2": "1 DR. PAUL TURNER DRIVE",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "96799",
"telephone_number": "684-633-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAYAWA",
"first_name": "TUPOU",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-18",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AS",
"license": "6001C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pago Pago, AS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.