NPIMap

Organization Active NPI

Bert M. Sumikawa, D.D.S., Inc.

  • Pediatric Dentistry
  • Honolulu, HI
National Provider Identifier
1669538914
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
716 Issued in HI
Legal business name
BERT M. SUMIKAWA, D.D.S., INC.
Doing business as
Pediatric Dental Group
Practice address
1026 S King St
Honolulu, HI 96814-2114
Phone
(808) 593-8828
Fax
(808) 596-0248
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bert Masayoshi Sumikawa, D.D.S.NPI 1073787057
Title
Preident
Phone
(808) 593-8828

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 716 HI Primary

Addresses

Primary practice location

1026 S King St
Honolulu, HI 96814-2114

Mailing address

1026 S King St
Honolulu, HI 96814-2114
Phone (808) 593-8828

Other names 1

  • Pediatric Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1026 S King St
Honolulu, HI 96814
Phone (808) 593-8828

Practitioners & affiliated clinicians

Practitioners 3

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669538914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142114",
            "telephone_number": "808-593-8828",
            "fax_number": "808-596-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142114",
            "telephone_number": "808-593-8828",
            "fax_number": "808-596-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT M. SUMIKAWA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMIKAWA",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "MASAYOSHI",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "808-593-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.