Robert K Tanaka, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD4431 Issued in HI

Practice address

1965 Judd Hillside Rd
Honolulu, HI 96822-2007

Phone

(808) 735-9093

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609957802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62053",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968392053",
            "telephone_number": "808-735-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 JUDD HILLSIDE RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222007",
            "telephone_number": "808-735-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD4431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01213201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Hiromi Tanaka, DPT
• Len Yukinori Tanaka, M.D.
• Mika Tanaka
• Nicole Tanaka
• Paul K Tanaka, D.D.S.
• Roy H Tanaka, D.C.
• Skylar Emerson Tanaka
• Tiffany H.T. Tanaka, MFT
• Travis Tanaka
• Bijan Tanbakuchi, A.P.

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• 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.