Active NPI
Isao Masunaga, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Honolulu, HI
National Provider Identifier
1740487768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 477
- Practice address
- 1010 S King St
Suite 401
Honolulu, HI 96814-1701 - Phone
- (808) 591-6667
- Fax
- (808) 591-1341
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 477 | HI | Primary |
Addresses
Primary practice location
1010 S King St
Suite 401
Honolulu, HI 96814-1701
Mailing address
1010 S King St
Suite 401
Honolulu, HI 96814-1701
Phone (808) 591-6667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477 | Other | HI | D.D.S. LICENSE NUMBER |
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 |
|---|---|---|---|
| 477 | HI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740487768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S KING ST",
"address_2": "SUITE 401",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141701",
"telephone_number": "808-591-6667",
"fax_number": "808-591-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S KING ST",
"address_2": "SUITE 401",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141701",
"telephone_number": "808-591-6667",
"fax_number": "808-591-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUNAGA",
"first_name": "ISAO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "HI",
"license": "477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D.D.S. LICENSE NUMBER",
"identifier": "477",
"state": "HI"
}
],
"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 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.