Organization Active NPI

Gary T Oda DDS

  • General Practice Dentistry
  • Ewa Beach, HI
National Provider Identifier
1437910577
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARY T ODA DDS
Practice address
91-791 Papipi Rd RM 1
Ewa Beach, HI 96706-2456
Phone
(808) 689-7966
Fax
(808) 689-0966
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Gary T OdaNPI 1497856694
Title
Dentist
Phone
(808) 689-7966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

91-791 Papipi Rd RM 1
Ewa Beach, HI 96706-2456

Mailing address

91-791 Papipi Rd RM 1
Ewa Beach, HI 96706-2456
Phone (808) 689-7966

National Provider Directory

National Provider Directory

Locations

91-791 Papipi Rd
Rm 1
Ewa Beach, HI 96706
Phone (808) 689-7966

Practitioners & affiliated clinicians

Practitioners 2

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1437910577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-791 PAPIPI RD RM 1",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062456",
            "telephone_number": "808-689-7966",
            "fax_number": "808-689-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-791 PAPIPI RD RM 1",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062456",
            "telephone_number": "808-689-7966",
            "fax_number": "808-689-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY T ODA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ODA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-689-7966",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.