Individual provider Active NPI

Eric H. Tsukamoto, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1689721243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1193 Issued in HI
Practice address
1314 S King St Ste 420
Honolulu, HI 96814-1939
Phone
(808) 596-0031
Fax
(808) 591-8538
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

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 1193 HI Primary

Addresses

Primary practice location

1314 S King St Ste 420
Honolulu, HI 96814-1939

Mailing address

1314 S King St Ste 420
Honolulu, HI 96814-1939
Phone (808) 596-0031

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
I20150722005006 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850604604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689721243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 420",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141939",
            "telephone_number": "808-596-0031",
            "fax_number": "808-591-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 420",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141939",
            "telephone_number": "808-596-0031",
            "fax_number": "808-591-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUKAMOTO",
        "first_name": "ERIC",
        "middle_name": "H.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.