Individual provider Active NPI

Ben T. Kawasaki, DDS,MSD

  • Prosthodontics
  • Honolulu, HI
National Provider Identifier
1407907512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
991 Issued in HI
Practice address
321 N Kuakini St Ste 804
Honolulu, HI 96817-2362
Phone
(808) 521-1896
Fax
(808) 533-6443
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 991 HI Primary

Addresses

Primary practice location

321 N Kuakini St Ste 804
Honolulu, HI 96817-2362

Mailing address

321 N Kuakini St Ste 804
Honolulu, HI 96817-2362
Phone (808) 521-1896

Other identifiers 2

IdentifierTypeStateIssuer
046397-04OtherHIMEDICAID
52720OtherHIHAWAIIMEDICALSERVICEASSOC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150921000795 HI Order and Referring Only - DentistPractitioner - Dentist 9931416179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407907512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-521-1896",
            "fax_number": "808-533-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-521-1896",
            "fax_number": "808-533-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWASAKI",
        "first_name": "BEN",
        "middle_name": "T.",
        "credential": "DDS,MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "046397-04",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAIIMEDICALSERVICEASSOC",
            "identifier": "52720",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.