Individual provider Active NPI

Scott Lau Morita, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aiea, HI
National Provider Identifier
1619316296
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2459 Issued in HI
Practice address
98-1247 Kaahumanu St
Suite 325
Aiea, HI 96701-5311
Phone
(808) 486-5505
Fax
(808) 488-1822
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2459 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St
Suite 325
Aiea, HI 96701-5311

Mailing address

98-1247 Kaahumanu St
Suite 325
Aiea, HI 96701-5311
Phone (808) 486-5505

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
2459HIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Randal D. Morita, D.D.S., Inc. Orthodontics and Dentofacial Orthopedics 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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1619316296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 325",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-486-5505",
            "fax_number": "808-488-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 325",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-486-5505",
            "fax_number": "808-488-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITA",
        "first_name": "SCOTT",
        "middle_name": "LAU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.