Dean K Otaka MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD10822 Issued in HI

Legal business name

DEAN K OTAKA MD INC

Practice address

98-1247 Kaahumanu St Ste 115
Aiea, HI 96701-5300

Phone

(808) 486-5556

Fax

(808) 486-5586

NPI assigned

Sep 20, 2006

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dean Otaka, M.D.NPI 1528079134

Title

President

Phone

(808) 486-5556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean K. Otaka, MD

  • Family Medicine Physician
  • Aiea, HI
  • NPI 1528079134
  Medicare reassignment NPD Authorized official
• Valerie Nicole Ferguson, NP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1194163907
  NPD (past)
• Mark A Morisaki, MD

  • Gastroenterology Physician
  • Honolulu, HI
  • NPI 1861441909
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1497853519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIL CODE 61153 P.O.BOX 1300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-486-5556",
            "fax_number": "808-486-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 115",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015300",
            "telephone_number": "808-486-5556",
            "fax_number": "808-486-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN K OTAKA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "OTAKA",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-486-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD10822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn a Miura MD LLC
• Dawn a. Harada, Psy.D., LLC
• Isabella De Miguel
• Aevira Angela De Peralta
• Kelly Deacon
• Davelynn Kuuleinani Defries, RDMS, RVT, BS
• Lauryn Del Moral, RBT
• Jazmin Dela Cruz
• Kylie Dela Cruz
• Ernest Dellamotta

• Specialist in Aiea, HI
• Providers in Aiea, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.