Active NPI
Dana S Takashima, DDS
- Dentist
- Kaunakakai, HI
National Provider Identifier
1497776157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00970
- Practice address
- 28 Kamoi Street
Suite 200
Kaunakakai, HI 96748 - Phone
- (808) 553-5118
- Fax
- (808) 553-3477
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00970 | HI | Primary |
Addresses
Primary practice location
28 Kamoi Street
Suite 200
Kaunakakai, HI 96748
Mailing address
PO Box 1276
Kaunakaka, HI 96748
Phone (808) 553-5118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06741801 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00970 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana S. Takashima DDS | Dentist | Past | Accepting new patients |
| Nalu Dental LLC | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Kaunakakai, HI
- NPI 1265675003
-
- Dentist
- Kaunakakai, HI
- NPI 1184097677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497776157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1276",
"city": "KAUNAKAKA",
"state": "HI",
"postal_code": "96748",
"telephone_number": "808-553-5118",
"fax_number": "808-553-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 KAMOI STREET",
"address_2": "SUITE 200",
"city": "KAUNAKAKAI",
"state": "HI",
"postal_code": "96748",
"telephone_number": "808-553-5118",
"fax_number": "808-553-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKASHIMA",
"first_name": "DANA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "00970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06741801",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kaunakakai, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.