Individual provider Active NPI

Glenn Masami Kaneda, D.D.S.

  • General Practice Dentistry
  • Kailua, HI
National Provider Identifier
1598816183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
HI 1100 Issued in HI
Practice address
45 Aulike St
Suite 45
Kailua, HI 96734-2708
Phone
(808) 262-6000
Fax
(808) 261-5549
NPI assigned
Jan 12, 2007
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 HI 1100 HI Primary

Addresses

Primary practice location

45 Aulike St
Suite 45
Kailua, HI 96734-2708

Mailing address

45 Aulike St
Suite 45
Kailua, HI 96734-2708
Phone (808) 262-6000

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

LicenseStateTypeSpecialty
HI 1100HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn M Kaneda DDS 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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598816183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 AULIKE ST",
            "address_2": "SUITE 45",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342708",
            "telephone_number": "808-262-6000",
            "fax_number": "808-261-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 AULIKE ST",
            "address_2": "SUITE 45",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342708",
            "telephone_number": "808-262-6000",
            "fax_number": "808-261-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEDA",
        "first_name": "GLENN",
        "middle_name": "MASAMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "HI 1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.