Active NPI
Susan Tateishi, RDH
- Dental Hygienist
- Hickam AFB, HI
National Provider Identifier
1578923280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 647
- Practice address
- 755 Scott Cir Ste 559
Hickam AFB, HI 96853-5399 - Phone
- (808) 448-6310
- NPI assigned
- Feb 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 647 | HI | Primary |
Addresses
Primary practice location
755 Scott Cir Ste 559
Hickam AFB, HI 96853-5399
Mailing address
95-1102 Auina St
Mililani, HI 96789-4847
Phone (808) 448-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | HI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1578923280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1102 AUINA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894847",
"telephone_number": "808-448-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SCOTT CIR STE 559",
"city": "HICKAM AFB",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-448-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATEISHI",
"first_name": "SUSAN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "HI",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickam AFB, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.