Individual provider Active NPI

Neil Oishi, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Honolulu, HI
National Provider Identifier
1447547633
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
MD-19235 Issued in HI
Practice address
1060 Young St Ste 312
Honolulu, HI 96814-1609
Phone
(808) 585-8455
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DT-2692 HI
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD-19235 HI Primary

Addresses

Primary practice location

1060 Young St Ste 312
Honolulu, HI 96814-1609

Mailing address

1060 Young St Ste 312
Honolulu, HI 96814-1609

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180721000059 HI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0749537710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Florida College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Maxillofacial Center, Inc.Group PAC ID 5597948554, 2 clinicians

Practice addresses (Care Compare)

94 -1221 Ka Uka Blvd
Suite B204
Waipahu, HI 96797-6202
Phone (808) 676-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Maxillofacial Center, LLC CurrentSince May 10, 2018 Accepting new patients
Pacific Maxillofacial Center, LLC Oral and Maxillofacial Surgery PastSince May 10, 2018 Accepting new patients

Locations

1060 Young St
Ste 312
Honolulu, HI 96814
Phone (808) 585-8455

94-1221 Ka Uka Blvd
Ste B204
Waipahu, HI 96797
Phone (808) 676-9560

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1447547633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST STE 312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST STE 312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-585-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OISHI",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-2692",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "HI",
            "license": "MD-19235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.