Calbert M B Lum, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

912 Issued in HI

Legal business name

CALBERT M B LUM, DDS, INC

Practice address

1109 Young St
Ste 106
Honolulu, HI 96814-1990

Phone

(808) 591-0086

Fax

(808) 591-0522

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Calbert M B Lum, DDS

Title

President

Phone

(808) 591-0086

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jaclyn M Lum, DDS

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1285885137
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1538334263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 YOUNG ST",
            "address_2": "STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141990",
            "telephone_number": "808-591-0086",
            "fax_number": "808-591-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 YOUNG ST",
            "address_2": "STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141990",
            "telephone_number": "808-591-0086",
            "fax_number": "808-591-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALBERT M B LUM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "CALBERT",
        "authorized_official_middle_name": "M B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-591-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alina Ewa Cajigal
• Karen Calabrese, AUD
• Juliet Castaneda Calantoc
• Shiela Marie C Calantoc
• Joy Arellano Calaoagan
• Lisa C Caldwell, RD
• Susanna Caldwell, PHYSICAL THERAPIST 4
• Jacqueline Rose Calhoun
• Siriyaporn Calhoun
• Grace Alvaro Caligtan, LSP

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, 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 Apr 24, 2008; 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.