Active NPI
Gregg Tadashi Uyeda, DDS, MS
- Periodontics
- Honolulu, HI
National Provider Identifier
1730384140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 1653
- Practice address
- 932 Ward Ave
Suite 410
Honolulu, HI 96814-2131 - Phone
- (808) 533-7200
- Fax
- (808) 533-1371
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 1653 | HI | Primary |
Addresses
Primary practice location
932 Ward Ave
Suite 410
Honolulu, HI 96814-2131
Mailing address
1441 Kapiolani Blvd Ste 800
Honolulu, HI 96814-4404
Phone (808) 533-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1653 | HI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1730384140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 800",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144404",
"telephone_number": "808-533-7200",
"fax_number": "808-533-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 WARD AVE",
"address_2": "SUITE 410",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142131",
"telephone_number": "808-533-7200",
"fax_number": "808-533-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UYEDA",
"first_name": "GREGG",
"middle_name": "TADASHI",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "HI",
"license": "1653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.