NPIMap

Organization Active NPI

Jay T Kanegawa DMD Inc

  • General Practice Dentistry
  • Aiea, HI
National Provider Identifier
1720727993
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAY T KANEGAWA DMD INC
Practice address
99-155 Moanalua Rd
Aiea, HI 96701-4009
Phone
(808) 488-4017
NPI assigned
Jun 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Dr. Jay T Kanegawa, DMDNPI 1336234749
Title
Owner
Phone
(808) 488-4017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

99-155 Moanalua Rd
Aiea, HI 96701-4009

Mailing address

99-155 Moanalua Rd
Aiea, HI 96701-4009
Phone (808) 488-4017

Other names 1

  • Aiea Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

99-155 Moanalua Rd
Aiea, HI 96701
Phone (808) 488-4017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1720727993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-155 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014009",
            "telephone_number": "808-488-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-155 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014009",
            "telephone_number": "808-488-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY T KANEGAWA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "KANEGAWA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-488-4017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiea Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.