Individual provider Active NPI

Michael Hironaka

  • Student in an Organized Health Care Education/Training Program
  • Honolulu, HI
National Provider Identifier
1710349733
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1441 Kapiolani Blvd Ste 1720
Honolulu, HI 96814-4407
Phone
(808) 949-5665
Fax
(808) 949-5775
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DT-2887 HI
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1720
Honolulu, HI 96814-4407

Mailing address

1441 Kapiolani Blvd Ste 1720
Honolulu, HI 96814-4407
Phone (808) 949-5665

Other practice location 1

46-056 Kamehameha Hwy Ste 250
Kaneohe, HI 96744-6707
Phone (808) 206-9464

Other practice location 2

98-1005 Moanalua Rd
Aiea, HI 96701-4777
Phone (808) 949-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160518002131 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254620982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-2887HIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Hawaii LLP Oral and Maxillofacial Surgery PastSince Aug 28, 2022 Accepting new patients
Craig a. Yamamoto, D.D.S., Inc. Oral and Maxillofacial Surgery PastSince Aug 28, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhironaka20418@hhsc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1710349733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1720",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-949-5665",
            "fax_number": "808-949-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1720",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-949-5665",
            "fax_number": "808-949-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46-056 Kamehameha Hwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967446707",
            "country_code": "US",
            "telephone_number": "808-206-9464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98-1005 Moanalua Rd",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014777",
            "country_code": "US",
            "telephone_number": "808-949-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRONAKA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-2887",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.