NPIMap

Organization Active NPI

Periodontal & Implant Associates of Hawaii

  • Periodontics
  • Honolulu, HI
National Provider Identifier
1760624761
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0813 Issued in HI
Legal business name
PERIODONTAL & IMPLANT ASSOCIATES OF HAWAII
Practice address
1833 S Beretania St
Honolulu, HI 96826-1307
Phone
(808) 955-2275
Fax
(808) 942-4608
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Clyde S Umaki, DDS, MSNPI 1083891410
Title
President/Owner
Phone
(808) 955-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 0813 HI Primary

Addresses

Primary practice location

1833 S Beretania St
Honolulu, HI 96826-1307

Mailing address

1833 S Beretania St
Honolulu, HI 96826-1307
Phone (808) 955-2275

National Provider Directory

National Provider Directory

Locations

1833 S Beretania St
Honolulu, HI 96826
Phone (808) 955-2275

Practitioners & affiliated clinicians

Practitioners 2

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1760624761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261307",
            "telephone_number": "808-955-2275",
            "fax_number": "808-942-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261307",
            "telephone_number": "808-955-2275",
            "fax_number": "808-942-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL & IMPLANT ASSOCIATES OF HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "UMAKI",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-955-2275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "0813",
            "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 Apr 6, 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.