Gary T Oda, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1281 Issued in HI

Practice address

91-791 Papipi Rd
Suite 1
Ewa Beach, HI 96706-2437

Phone

(808) 689-7966

Fax

(808) 689-0966

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gary T Oda DDS

  • General Practice Dentistry
  • Ewa Beach, HI
  • NPI 1437910577
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497856694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-791 PAPIPI RD",
            "address_2": "SUITE 1",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062437",
            "telephone_number": "808-689-7966",
            "fax_number": "808-689-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-791 PAPIPI RD",
            "address_2": "SUITE 1",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062437",
            "telephone_number": "808-689-7966",
            "fax_number": "808-689-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODA",
        "first_name": "GARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01371601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Nova
• Trudy O'Brien
• Oahu Imaging LLC
• Kimberly Alipio Ochinang
• Romulo Punzalan Oconer, RN
• Matthew Takashi Oda, DMD
• Zainisha Ogwaro
• Richard S Oh, M.D.
• Cassidy Carin Ohia
• Chelsea Okada, MS, ATC

• General Practice Dentistry in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• General Practice Dentistry in Hawaii

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.