Alan K K Sue, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D886 Issued in HI

Practice address

850 Kamehameha Hwy
Suite 116
Pearl City, HI 96782-2656

Phone

(808) 455-4191

Fax

(808) 455-4193

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770601205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 116",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822656",
            "telephone_number": "808-455-4191",
            "fax_number": "808-455-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY",
            "address_2": "SUITE 116",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822656",
            "telephone_number": "808-455-4191",
            "fax_number": "808-455-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUE",
        "first_name": "ALAN",
        "middle_name": "K K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "D886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Spalding, ATC, PTA
• Marlene Lynn Speakman
• State of Hawaii Department of Health (Central Oahu Community Mental Health Center)
• State of Hawaii, Department of Health, State Laboratories Division
• Stevie- Sky Strandley
• Gloria Suniga, LMT
• Rina Supnet
• Imee Tameta Taimanao, RN
• Jordan Takaki, DMD
• Joanne C. Takara, O.D.

• General Practice Dentistry in Pearl City, HI
• Providers in Pearl City, 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 Jul 8, 2007; 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.