Individual provider Active NPI

Richard Michael Nii, D.D.S.

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1770604183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01236 Issued in HI
Practice address
784A Kinoole St
Hilo, HI 96720-3829
Phone
(808) 969-6641
Fax
(808) 969-6754
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 01236 HI Primary

Addresses

Primary practice location

784A Kinoole St
Hilo, HI 96720-3829

Mailing address

784A Kinoole St
Hilo, HI 96720-3829
Phone (808) 969-6641

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150515001702 HI Order and Referring Only - DentistPractitioner - Dentist 2466772363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01236HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770604183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784A KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203829",
            "telephone_number": "808-969-6641",
            "fax_number": "808-969-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784A KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203829",
            "telephone_number": "808-969-6641",
            "fax_number": "808-969-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NII",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "01236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.