Active NPI
Samuel Minoru Ishimura, DDS
- Dentist
- Honolulu, HI
National Provider Identifier
1730644741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT731
- Practice address
- 2229 N School St
Honolulu, HI 96819-2588 - Phone
- (808) 791-9428
- NPI assigned
- Feb 4, 2019
- Last updated
- Feb 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DT731 | HI | Primary |
Addresses
Primary practice location
2229 N School St
Honolulu, HI 96819-2588
Mailing address
2229 N School St
Honolulu, HI 96819-2588
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT731 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1730644741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 N SCHOOL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968192588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 N SCHOOL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968192588",
"telephone_number": "808-791-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIMURA",
"first_name": "SAMUEL",
"middle_name": "MINORU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
- Christine Chiyeko Ishikawa, O.D.
- Glenn T. Ishikawa, M.D.
- Janna Ishikawa, MS, CCC-SLP
- Jason S. Ishikawa, ATC
- Takako Vivian Ishimaru-Tseng, MD
- Michael Ishioka, M.D.
- Pamela Ishizu, RN
- John Iskander, M.D., M.P.H.
- Isla Medical Services, Inc (Hawaii Nursing Solutions)
- Isla Medical Services, Inc (Hawaii Nursing Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.