Paul Mt Yim

Primary specialty

DentistTaxonomy code 122300000X

License

DT1164 Issued in HI

Practice address

46 005 Kawa Street
301
Kaneohe, HI 96744-3813

Phone

(808) 235-0550

Fax

(808) 234-1166

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paul M.T. Yim

  • Dentist
  • Kaneohe, HI
  • NPI 1619333143
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629154182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46005 KAWA STREET",
            "address_2": "301",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443813",
            "telephone_number": "808-235-0550",
            "fax_number": "808-234-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 005 KAWA STREET",
            "address_2": "301",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443813",
            "telephone_number": "808-235-0550",
            "fax_number": "808-234-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "PAUL",
        "middle_name": "MT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51960501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "819742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "116401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "14498",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Yim, DDS
• Chad D.N. Yim, DDS
• Christopher Evans Kin Mun Yim, DDS
• Errol Yim, DDS, MS
• Henry L Yim, MD
• Hana J Yin, LMFT
• Tasha-Leigh Kapualokelani Yong, DPT
• Jacy Yoshimoto
• Wendy Young, LMT
• Brenton Grant Yuen, M.D.

• Dentist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Dentist 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.