Todd K. Haruki, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD-10737 Issued in HI

Practice address

1060 Young St Ste 312
Honolulu, HI 96814-1609

Phone

(808) 585-8455

Fax

(808) 585-8458

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

University of Louisville School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Maxillofacial Center, Inc.Group PAC ID 5597948554, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pacific Maxillofacial Center, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Honolulu, HI
  • NPI 1003839069
  Medicare reassignment Care Compare group Authorized official
• Pacific Maxillofacial Center, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
  • NPI 1518986579
  NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1801924659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST STE 312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-585-8455",
            "fax_number": "808-585-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST STE 312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-585-8455",
            "fax_number": "808-585-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUKI",
        "first_name": "TODD",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-1815",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "HI",
            "license": "MD-10737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA DENTAL PIN",
            "identifier": "D21682-2",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PIN",
            "identifier": "741204",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA MEDICAL PIN",
            "identifier": "D22065-9",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE PIN",
            "identifier": "1815",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST PIN",
            "identifier": "00C0220659",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52286401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PIN",
            "identifier": "990358549",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA MEDICAL PIN",
            "identifier": "C22065-1",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST PIN",
            "identifier": "00C0220651",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA DENTAL PIN",
            "identifier": "C21682-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah J Hartney, M.S. CCC-SLP
• Lisa Lorene Hartwell-Tindle, PSYD, RN
• Cynthia Seto Hartwell, MSN, APRN, WHNP-BC
• Erin Harty
• Ihilani Haru
• Keith Harunaga, DDS
• Julia Haruno
• Lee Salvador Haruno, MD
• Malcolm M Haruno, M.D.
• Harvey S Takaki M D Inc

• Oral & Maxillofacial Surgery (D.M.D.) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.