NPIMap

Organization Active NPI

Lyle T. Tenjoma DDS, MSD

  • Dentist
  • Honolulu, HI
National Provider Identifier
1609256098
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1262 Issued in HI
Legal business name
LYLE T. TENJOMA DDS, MSD
Practice address
1441 Kapiolani Blvd Ste 1120
Honolulu, HI 96814-4406
Phone
(808) 927-5159
Fax
(808) 949-0115
NPI assigned
Jun 1, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LYLE T. TENJOMA DDS, MSDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Lyle T. Tenjoma, DDS, MSDNPI 1851575120
Title
Owner
Phone
(808) 927-5159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1262 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1120
Honolulu, HI 96814-4406

Mailing address

1441 Kapiolani Blvd Ste 1120
Honolulu, HI 96814-4406
Phone (808) 927-5159

National Provider Directory

National Provider Directory
Tax ID family
Lyle T Tenjoma DDS MSD2 organizations share this tax ID, including this one
Part of
Lyle T Tenjoma DDS MSD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1441 Kapiolani Blvd
Ste 1120
Honolulu, HI 96814
Phone (808) 927-5159

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1609256098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144406",
            "telephone_number": "808-927-5159",
            "fax_number": "808-949-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144406",
            "telephone_number": "808-927-5159",
            "fax_number": "808-949-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE T. TENJOMA DDS, MSD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LYLE T. TENJOMA DDS, MSD",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "TENJOMA",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-927-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,  MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.