Michael Minoru Matsushima II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1022 Issued in HI

Practice address

1580 Makaloa St
Suite 717
Honolulu, HI 96814-3216

Phone

(808) 947-3212

Fax

(808) 947-3212

NPI assigned

Oct 12, 2005

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael M Matsushima II DDS Inc.

  • Dental Clinic/Center
  • Honolulu, HI
  • NPI 1104159045
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1750379756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE 717",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143216",
            "telephone_number": "808-947-3212",
            "fax_number": "808-947-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE 717",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143216",
            "telephone_number": "808-947-3212",
            "fax_number": "808-947-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUSHIMA II",
        "first_name": "MICHAEL",
        "middle_name": "MINORU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan T Matsuo, MD
• Allyson Matsuoka, APRN
• Joan T Matsuoka, R.N., M.N.,CFM
• Lois Yukiko Matsuoka
• Derek Ken Matsushige, M.D.
• Anne K Matsushima, O.D.
• James Matsushima
• Jodi M. Matsuura Eaves, MD
• Dari Shim Matsuura
• Jenna Matsuura, DPT

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.