Individual provider Active NPI

Roanne Teruyo Tsutsui, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hilo, HI
National Provider Identifier
1659536316
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1263 Issued in HI
Practice address
1234 Kilauea Ave
Hilo, HI 96720-4282
Phone
(808) 961-5766
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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 1263 HI Primary

Addresses

Primary practice location

1234 Kilauea Ave
Hilo, HI 96720-4282

Mailing address

1234 Kilauea Ave
Hilo, HI 96720-4282
Phone (808) 961-5766

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

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1659536316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204282",
            "telephone_number": "808-961-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204282",
            "telephone_number": "808-961-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUTSUI",
        "first_name": "ROANNE",
        "middle_name": "TERUYO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.