Active NPI
Derek Jon Sakamaki, D.D.S.
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1750432258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1890
- Practice address
- 1441 Kapiolani Blvd Ste 512
Honolulu, HI 96814-4403 - Phone
- (808) 941-5145
- Fax
- (808) 949-8803
- NPI assigned
- Jan 13, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1890 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd Ste 512
Honolulu, HI 96814-4403
Mailing address
1521 Evelyn LN
Honolulu, HI 96822-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1890 | Other | HI | STATE LICENSE |
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 |
|---|---|---|---|
| 1890 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1750432258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 EVELYN LN",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223368",
"fax_number": "808-949-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 512",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144403",
"telephone_number": "808-941-5145",
"fax_number": "808-949-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKAMAKI",
"first_name": "DEREK",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "1890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1890",
"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 Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.