Individual provider Active NPI

Richard Hisao Tamaru, D.M.D.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1457453821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1505 Issued in HI
Practice address
615 Piikoi St
Suite 804
Honolulu, HI 96814-3140
Phone
(808) 589-2711
Fax
(808) 595-8704
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X DT-1505 HI Primary

Addresses

Primary practice location

615 Piikoi St
Suite 804
Honolulu, HI 96814-3140

Mailing address

615 Piikoi St
Suite 804
Honolulu, HI 96814-3140
Phone (808) 589-2711

Other identifiers 2

IdentifierTypeStateIssuer
B2402-2OtherHIHMSA
8-1505OtherHIHAWAII DENTAL SERVICE

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
I20150413000757 HI Order and Referring Only - DentistPractitioner - Dentist 4082932637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-1505HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457453821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143140",
            "telephone_number": "808-589-2711",
            "fax_number": "808-595-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143140",
            "telephone_number": "808-589-2711",
            "fax_number": "808-595-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMARU",
        "first_name": "RICHARD",
        "middle_name": "HISAO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B2402-2",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE",
            "identifier": "8-1505",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.