Organization Active NPI

Jason M Tanaka DDS Inc

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1740417559
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1392-01 Issued in HI
Legal business name
JASON M TANAKA DDS INC
Practice address
1520 Liliha St Ste 502
Honolulu, HI 96817-3564
Phone
(808) 521-6707
Fax
(808) 528-5967
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Ernel S Guinto
Title
Office Manager
Phone
(808) 521-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1392-01 HI Primary

Addresses

Primary practice location

1520 Liliha St Ste 502
Honolulu, HI 96817-3564

Mailing address

1520 Liliha St Ste 502
Honolulu, HI 96817-3564
Phone (808) 521-6707

National Provider Directory

National Provider Directory

Locations

1520 Liliha St
Ste 502
Honolulu, HI 96817
Phone (808) 521-6707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1740417559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-521-6707",
            "fax_number": "808-528-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-521-6707",
            "fax_number": "808-528-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M TANAKA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "GUINTO",
        "authorized_official_first_name": "ERNEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-521-6707"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1392-01",
            "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 Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.