Dustin Ken Teruya, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3273 Issued in HI

Practice address

277 Ohua Ave
Honolulu, HI 96815-3643

Phone

(808) 791-9350

Fax

(808) 791-9338

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kokua Kalihi Valley Comprehensive Family ServicesGroup PAC ID 0547258741, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kokua Kalihi Valley Comprehensive Family Services

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1114074622
  Medicare reassignment Care Compare group
• Kokua Kalihi Valley Comprehensive Family Services

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1548733397
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679646590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 KAPAHULU AVE",
            "address_2": "#A-319",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161196",
            "telephone_number": "808-791-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 OHUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153643",
            "telephone_number": "808-791-9350",
            "fax_number": "808-791-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERUYA",
        "first_name": "DUSTIN",
        "middle_name": "KEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Y. J. Won, D.D.S.
• Terry a Vernoy MD Inc
• Brandon Yasuo Teruya, M.D.
• Brian Masaichi Teruya, O.D.
• Darrell Tadayoshi Teruya, DDS
• Elizabeth A Teruya, LMTQ
• Galen Teruya
• Jaclyn Sadako Teruya, MS, CCC-SLP
• Jade B Teruya
• Jennifer Michie Teruya, OD

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.