Organization Active NPI

Marcy M Kawasaki DDS

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1457740086
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1293 Issued in HI
Legal business name
MARCY M KAWASAKI DDS
Practice address
91 Lanihuli St
Hilo, HI 96720-7202
Phone
(808) 430-0740
NPI assigned
Jan 20, 2015
Organization subpart
Yes
Parent organization
MARCY M KAWASAKI DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Marcy M Kawasaki, DDS
Title
Dentist
Phone
(808) 430-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1293 HI Primary

Addresses

Primary practice location

91 Lanihuli St
Hilo, HI 96720-7202

Mailing address

91 Lanihuli St
Hilo, HI 96720-7202
Phone (808) 430-0740

Other identifiers 1

IdentifierTypeStateIssuer
DT-1293OtherHIHAWAII LICENCE

National Provider Directory

National Provider Directory
Tax ID family
Marcy M Kawasaki DDS2 organizations share this tax ID, including this one
Part of
Marcy M Kawasaki DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

91 Lanihuli St
Hilo, HI 96720
Phone (808) 430-0740

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1457740086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LANIHULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207202",
            "telephone_number": "808-430-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LANIHULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207202",
            "telephone_number": "808-430-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY M KAWASAKI DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCY M KAWASAKI DDS",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "KAWASAKI",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-430-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII LICENCE",
            "identifier": "DT-1293",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.