Individual provider Active NPI

Gregory Yat Cho Lung, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
National Provider Identifier
1689772659
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
1729 Issued in HI
Practice address
1580 Makaloa St
Suite #725
Honolulu, HI 96814-3237
Phone
(808) 973-3747
Fax
(808) 973-3757
NPI assigned
Sep 21, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1729 HI Primary

Addresses

Primary practice location

1580 Makaloa St
Suite #725
Honolulu, HI 96814-3237

Mailing address

1580 Makaloa St
Suite #725
Honolulu, HI 96814-3237
Phone (808) 973-3747

Other identifiers 1

IdentifierTypeStateIssuer
H50880OtherHIMEDICARE LEGACY

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
I20090226000653 HI Practitioner - Oral Surgery 7618033622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Tufts University School of Dental Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery Associates IncGroup PAC ID 7012073018, 3 clinicians

Practice addresses (Care Compare)

1580 Makaloa St
Suite 725
Honolulu, HI 96814-3216
Phone (808) 973-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1729HIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Permanente Medical Group Inc CurrentSince Jul 20, 2013 Accepting new patients
Oral and Maxillofacial Surgery Associates Inc Oral and Maxillofacial Surgery CurrentSince May 1, 2007 Accepting new patients

Locations

1580 Makaloa St
Ste 725
Honolulu, HI 96814
Phone (808) 947-1422

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1689772659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE #725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143237",
            "telephone_number": "808-973-3747",
            "fax_number": "808-973-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE #725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143237",
            "telephone_number": "808-973-3747",
            "fax_number": "808-973-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "GREGORY",
        "middle_name": "YAT CHO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "1729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "H50880",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.