James Masataka Michino, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DT2302 Issued in HI

Practice address

930 Valkenburgh St SPC 206
Honolulu, HI 96818-3914

Phone

(808) 342-5920

NPI assigned

Aug 11, 2010

Sex

Male

Sole proprietor

No

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

Locations

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.

• Hawaii Elite Oms LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
  • NPI 1114816105
  Medicare reassignment NPD
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment NPD
• Oral and Maxillofacial Surgery Associates Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
  • NPI 1962617597
  Medicare reassignment NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1730494931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA STREET",
            "address_2": "SUITE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143216",
            "telephone_number": "808-973-3747",
            "fax_number": "808-973-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 VALKENBURGH ST SPC 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183914",
            "telephone_number": "808-342-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Makaloa St Ste 940",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968143220",
            "country_code": "US",
            "telephone_number": "808-342-5920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Makaloa Street",
            "address_2": "Suite 725",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968146216",
            "country_code": "US",
            "telephone_number": "808-973-3747",
            "fax_number": "808-973-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHINO",
        "first_name": "JAMES",
        "middle_name": "MASATAKA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.