Individual provider Active NPI

Hugh T. Matsumura, D.M.D.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1568564334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
651 Issued in HI
Practice address
1010 S King St
Medical Arts BLDG. #504
Honolulu, HI 96814-1701
Phone
(808) 596-2553
Fax
(808) 596-2554
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 651 HI Primary

Addresses

Primary practice location

1010 S King St
Medical Arts BLDG. #504
Honolulu, HI 96814-1701

Mailing address

1010 S King St
Medical Arts BLDG. #504
Honolulu, HI 96814-1701
Phone (808) 596-2553

Other identifiers 2

IdentifierTypeStateIssuer
83584OtherHIHMSA ID NUMBER
651OtherHIHDS ID NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151207002272 HI Order and Referring Only - DentistPractitioner - Dentist 2860792272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
651HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh T. Matsumura, DMD, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568564334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "MEDICAL ARTS BLDG. #504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-596-2553",
            "fax_number": "808-596-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "MEDICAL ARTS BLDG. #504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-596-2553",
            "fax_number": "808-596-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMURA",
        "first_name": "HUGH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA ID NUMBER",
            "identifier": "83584",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS ID NUMBER",
            "identifier": "651",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.