Russell K Tasaka, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1612 Issued in HI

Legal business name

RUSSELL K TASAKA, DMD

Practice address

3221 Waialae Ave
Ste 376
Honolulu, HI 96816-5842

Phone

(808) 737-9032

NPI assigned

Feb 19, 2013

Organization subpart

Yes

Parent organization

RUSSELL K TASAKA, DMDAs reported in NPPES

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

Authorized official

Name

Russell K Tasaka, DMD

Title

Owner

Phone

(808) 737-9032

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Russell K Tasaka DMD2 organizations share this tax ID, including this one

Part of

Russell K Tasaka DMD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Russell K Tasaka, DMD

  • Dentist
  • Honolulu, HI
  • NPI 1053866715
  NPD tax ID

Locations

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1710227376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N KING ST",
            "address_2": "107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193456",
            "telephone_number": "808-841-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "STE 376",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165842",
            "telephone_number": "808-737-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL K TASAKA, DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSSELL K TASAKA, DMD",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "TASAKA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-737-9032",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841308723",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rupal M Gohil MD LLC
• Hana Rupnow
• Tameron Elizabeth Russ, ATC
• Russell G Tacata MD
• Russell K Tasaka, DMD
• Russell K Tasaka, DMD, LLC (Honolulu Center for Dentistry)
• Russell Wong MD Inc
• Joanna Marie Russell, M.D.
• Laura A. Russell, MD
• Saba S. Russell, MD

• Dentist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.