Individual provider Active NPI

Chad Kawashima, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1770612046
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT1961 Issued in HI
Practice address
1139 Bethel St
Honolulu, HI 96813-2219
Phone
(808) 533-3892
Fax
(808) 523-1240
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 DT1961 HI Primary

Addresses

Primary practice location

1139 Bethel St
Honolulu, HI 96813-2219

Mailing address

1255 Nuuanu Ave # E-3107
Honolulu, HI 96817-4017
Phone (808) 533-3892

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

LicenseStateTypeSpecialty
DT1961HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wilfred a. Miyasaki, D.M.D., Inc. General Practice Past Accepting new patients
Hawaii Dental Wellness, LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770612046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NUUANU AVE # E-3107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174017",
            "telephone_number": "808-533-3892",
            "fax_number": "808-523-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132219",
            "telephone_number": "808-533-3892",
            "fax_number": "808-523-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWASHIMA",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1961",
            "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 Jul 8, 2007; 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.