Individual provider Active NPI

Robert M. Wai Jr., D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1790791119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
889 Issued in HI
Practice address
1040 S King St
Suite 301
Honolulu, HI 96814-2117
Phone
(808) 593-8488
Fax
(808) 593-9882
NPI assigned
Jul 31, 2006
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 889 HI Primary

Addresses

Primary practice location

1040 S King St
Suite 301
Honolulu, HI 96814-2117

Mailing address

1040 S King St
Suite 301
Honolulu, HI 96814-2117
Phone (808) 593-8488

Other identifiers 2

IdentifierTypeStateIssuer
889OtherHIHAWAII DENTAL SERVICE NUM
8714-8OtherHIHMSA ID NUMBER

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
I20150623000136 HI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092026799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
889HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790791119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S KING ST",
            "address_2": "SUITE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142117",
            "telephone_number": "808-593-8488",
            "fax_number": "808-593-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S KING ST",
            "address_2": "SUITE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142117",
            "telephone_number": "808-593-8488",
            "fax_number": "808-593-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAI",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE NUM",
            "identifier": "889",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA ID NUMBER",
            "identifier": "8714-8",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.