Active NPI
Ross Masuo Fujimoto, DDS
- Dentist
- Wailuku, HI
National Provider Identifier
1740329846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1385
- Practice address
- 1063 E Main St
Ste C105
Wailuku, HI 96793 - Phone
- (808) 244-3419
- Fax
- (808) 249-8014
- NPI assigned
- Feb 5, 2007
- 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 | 1385 | HI | Primary |
Addresses
Primary practice location
1063 E Main St
Ste C105
Wailuku, HI 96793
Mailing address
1063 E Main St
Ste C105
Wailuku, HI 96793
Phone (808) 244-3419
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 |
|---|---|---|---|
| 1385 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740329846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 E MAIN ST",
"address_2": "STE C105",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96793",
"telephone_number": "808-244-3419",
"fax_number": "808-249-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 E MAIN ST",
"address_2": "STE C105",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96793",
"telephone_number": "808-244-3419",
"fax_number": "808-249-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJIMOTO",
"first_name": "ROSS",
"middle_name": "MASUO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "1385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.