Reid Takeshi Koyanagi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DT2026 Issued in HI

Practice address

934 Punahou St
Honolulu, HI 96826-2522

Phone

(808) 949-7333

Fax

(808) 951-9028

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518060979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262522",
            "telephone_number": "808-949-7333",
            "fax_number": "808-951-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262522",
            "telephone_number": "808-949-7333",
            "fax_number": "808-951-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYANAGI",
        "first_name": "REID",
        "middle_name": "TAKESHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Kowalski
• Chad Koyanagi, M.D.
• Kimberly H L Koyanagi, NP
• Kristi C Koyanagi, DDS
• Kristi Chiemi Koyanagi, PT, DPT
• Landon Kozai, MD
• Kathleen R. Kozak, M.D.
• Amber Kozaki
• Casey M Kozuma, P.T.
• Stephen Hirokuni Kozuma, RPH

• Dentist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dentist 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.