Individual provider Active NPI

Adam Inaba, D.D.S.

  • Endodontics
  • Honolulu, HI
National Provider Identifier
1700225356
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DT 2468 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 208
Honolulu, HI 96814-4400
Phone
(808) 591-1515
Fax
(808) 593-8628
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT 2468 HI
Endodontics 1223E0200X DT 2468 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 208
Honolulu, HI 96814-4400

Mailing address

1441 Kapiolani Blvd Ste 208
Honolulu, HI 96814-4400
Phone (808) 591-1515

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
I20160118000711 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1658674114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT 2468HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates, LLC Endodontics PastSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1700225356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144400",
            "telephone_number": "808-591-1515",
            "fax_number": "808-593-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144400",
            "telephone_number": "808-591-1515",
            "fax_number": "808-593-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INABA",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT 2468",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "DT 2468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.