Individual provider Active NPI

Radford Yutaka Goto, D.M.D.

  • Pediatric Dentistry
  • Honolulu, HI
National Provider Identifier
1770716706
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855238 Issued in MA
Practice address
3150 Monsarrat Ave Ste 201
Honolulu, HI 96815-4488
Phone
(808) 735-5437
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855238 MA
Pediatric Dentistry 1223P0221X DN1855238 MA Primary

Addresses

Primary practice location

3150 Monsarrat Ave Ste 201
Honolulu, HI 96815-4488

Mailing address

3150 Monsarrat Ave Ste 201
Honolulu, HI 96815-4488
Phone (808) 227-9885

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keikismiles@diamondheadchildrensdentistry.com Direct

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
I20150612000661 HI Order and Referring Only - DentistPractitioner - Dentist 1052622362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855238MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Toothbuds Kauai, LLC Current Accepting new patients
Radford Y. Goto, DMD, LLC Current Accepting new patients

Locations

3150 Monsarrat Ave
Ste 201
Honolulu, HI 96815
Phone (808) 735-5437

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1770716706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 MONSARRAT AVE STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154488",
            "telephone_number": "808-227-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 MONSARRAT AVE STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154488",
            "telephone_number": "808-735-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTO",
        "first_name": "RADFORD",
        "middle_name": "YUTAKA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855238",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keikismiles@diamondheadchildrensdentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3150 Monsarrat Ave Ste 201",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968154488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.