Derek B. Tom, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2008 Issued in HI

Practice address

98-150 Kaonohi St
Suite C-207
Aiea, HI 96701-5047

Phone

(808) 488-0100

Fax

(808) 488-0110

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Derek B Tom DDS LLC

  • Pediatric Dentistry
  • Aiea, HI
  • NPI 1669826244
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770667131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-150 KAONOHI ST",
            "address_2": "SUITE C-207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015047",
            "telephone_number": "808-488-0100",
            "fax_number": "808-488-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-150 KAONOHI ST",
            "address_2": "SUITE C-207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015047",
            "telephone_number": "808-488-0100",
            "fax_number": "808-488-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "DEREK",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Tolentino, PT
• Jenyce Tolentino
• Selena Tollefsen
• Nicolas Tolstoganoff Arboleda
• Stephanie May Tom Shimada
• Iris Kimie Tom, RN
• Russell M Tom, M.D.
• Tara Tomoyasu
• Lowell Tong, DPM
• Teodora Topalovski, MD

• Pediatric Dentistry in Aiea, HI
• Providers in Aiea, HI by specialty
• Pediatric 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.