Organization Active NPI

Kerry S. Ishihara, DDS, Inc.

  • General Practice Dentistry
  • Wahiawa, HI
National Provider Identifier
1639301419
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
HI1333 Issued in HI
Legal business name
KERRY S. ISHIHARA, DDS, INC.
Practice address
810 Kilani Ave
Suite a
Wahiawa, HI 96786-2044
Phone
(808) 621-8281
Fax
(808) 621-8281
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Kerry S. Ishihara, DDSNPI 1306955000
Title
General Dentist
Phone
(808) 621-8281

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X HI1333 HI Primary

Addresses

Primary practice location

810 Kilani Ave
Suite a
Wahiawa, HI 96786-2044

Mailing address

810 Kilani Ave
Suite a
Wahiawa, HI 96786-2044
Phone (808) 621-8281

Other identifiers 1

IdentifierTypeStateIssuer
02528801MedicaidHI

National Provider Directory

National Provider Directory

Locations

810 Kilani Ave
Ste A
Wahiawa, HI 96786
Phone (808) 621-8281

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1639301419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KILANI AVE",
            "address_2": "SUITE A",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862044",
            "telephone_number": "808-621-8281",
            "fax_number": "808-621-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 KILANI AVE",
            "address_2": "SUITE A",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862044",
            "telephone_number": "808-621-8281",
            "fax_number": "808-621-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY S. ISHIHARA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "ISHIHARA",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "808-621-8281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "HI1333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02528801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.