Michael RC Umaki, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DT-2407 Issued in HI

Practice address

1833 S Beretania St
Honolulu, HI 96826-1307

Phone

(808) 955-2275

Fax

(808) 942-4608

NPI assigned

Jan 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Periodontal & Implant Associates of Hawaii

  • Periodontics
  • Honolulu, HI
  • NPI 1760624761
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1730450271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261307",
            "telephone_number": "808-955-2275",
            "fax_number": "808-942-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261307",
            "telephone_number": "808-955-2275",
            "fax_number": "808-942-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAKI",
        "first_name": "MICHAEL",
        "middle_name": "RC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "DT-2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Racquel Ulloa
• Ultimate Foot Store, Inc
• Tui L. Ulu, LCSW, CSAC, ICADC
• Uluwehi Wellness LLC
• Clyde S. Umaki, D.D.S., M.S.
• Tracie Marie Umaki, PSY.D.
• Gary T Umeda, DDS
• Tanya Umeda
• Sari Umekawa, M.D.
• Catherine Louise Underwood, MSN, APRN, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.