Individual provider Active NPI

Chris Kazumi Igawa, D.D.S.

  • Dentist
  • Hilo, HI
National Provider Identifier
1801006341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2097 Issued in HI
Practice address
91 Lanihuli St
Hilo, HI 96720-4142
Phone
(808) 935-8909
Fax
(808) 969-1558
NPI assigned
May 23, 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
Dentist 122300000X 2097 HI Primary

Addresses

Primary practice location

91 Lanihuli St
Hilo, HI 96720-4142

Mailing address

91 Lanihuli St
Hilo, HI 96720-4142
Phone (808) 935-8909

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
2097HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce T. Miyashiro, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801006341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LANIHULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204142",
            "telephone_number": "808-935-8909",
            "fax_number": "808-969-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LANIHULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204142",
            "telephone_number": "808-935-8909",
            "fax_number": "808-969-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGAWA",
        "first_name": "CHRIS",
        "middle_name": "KAZUMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, 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.