Individual provider Active NPI

Mike S. Sunahara, D.D.S.

  • General Practice Dentistry
  • Haleiwa, HI
National Provider Identifier
1649310673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT 1739 Issued in HI
Practice address
66-230 Kamehameha Hwy
Haleiwa, HI 96712-1421
Phone
(808) 637-4550
Fax
(808) 637-4552
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT 1739 HI Primary

Addresses

Primary practice location

66-230 Kamehameha Hwy
Haleiwa, HI 96712-1421

Mailing address

66-230 Kamehameha Hwy
Haleiwa, HI 96712-1421
Phone (808) 637-4550

Other identifiers 2

IdentifierTypeStateIssuer
804448OtherHIUCCI IDENTIFIER
82321OtherHIHMSA INDENTIFIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151125000526 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204136179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT 1739HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sunahara Dental, Inc. General Practice 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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649310673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-230 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121421",
            "telephone_number": "808-637-4550",
            "fax_number": "808-637-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-230 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121421",
            "telephone_number": "808-637-4550",
            "fax_number": "808-637-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNAHARA",
        "first_name": "MIKE",
        "middle_name": "S.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT 1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI IDENTIFIER",
            "identifier": "804448",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA INDENTIFIER",
            "identifier": "82321",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

Verify at the official NPI Registry.