Individual provider Active NPI

Gerald Adachi, DMD

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1609082221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT1513 Issued in HI
Practice address
715 S King St
Suite 425
Honolulu, HI 96813-3020
Phone
(808) 521-4421
Fax
(808) 536-6489
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

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 DT1513 HI Primary

Addresses

Primary practice location

715 S King St
Suite 425
Honolulu, HI 96813-3020

Mailing address

715 S King St
Suite 425
Honolulu, HI 96813-3020
Phone (808) 521-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 18, 2022 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Adachi, 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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609082221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S KING ST",
            "address_2": "SUITE 425",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133020",
            "telephone_number": "808-521-4421",
            "fax_number": "808-536-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S KING ST",
            "address_2": "SUITE 425",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133020",
            "telephone_number": "808-521-4421",
            "fax_number": "808-536-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADACHI",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.