Cory K. Wakano,D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1796 Issued in HI

Legal business name

CORY K. WAKANO,D.D.S., INC

Practice address

120 Pauahi St
Suite 204
Hilo, HI 96720-3067

Phone

(808) 961-5617

Fax

(808) 935-3290

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Cory K Wakano, D.D.S.NPI 1366591257

Title

President

Phone

(808) 961-5617

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory K Wakano, D.D.S.

  • General Practice Dentistry
  • Hilo, HI
  • NPI 1366591257
  NPD (past) Authorized official

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1518293125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PAUAHI ST",
            "address_2": "SUITE 204",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203067",
            "telephone_number": "808-961-5617",
            "fax_number": "808-935-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PAUAHI ST",
            "address_2": "SUITE 204",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203067",
            "telephone_number": "808-961-5617",
            "fax_number": "808-935-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY K. WAKANO,D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "WAKANO",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-961-5617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Cornwell, P.T.
• Cienna Marie Galicinao Corpuz
• Judith Correa, RN
• Wendy C O Correa, OTR
• Daysi Cortes Betts, M.S
• Alysha Cosier-Yee
• Angela Pumehana Costa
• Ayaka Costa, LMT
• Tennille Danette Coutsourakis
• Briana Crabbe

• General Practice Dentistry in Hilo, HI
• Providers in Hilo, 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 Nov 2, 2009; 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.