Matthew S. Abraham, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DT-2353 Issued in HI

Practice address

338 Kamokila Blvd Ste 203
Kapolei, HI 96707-2055

Phone

(808) 674-2255

Fax

(808) 674-1771

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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.

• Island Oral and Maxillofacial Surgery, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kapolei, HI
  • NPI 1093374696
  NPD Authorized official
• Pacific Maxillofacial Center, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Honolulu, HI
  • NPI 1003839069
  NPD (past)
• Pacific Maxillofacial Center, LLC

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

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1821130576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD STE 203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-674-2255",
            "fax_number": "808-674-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD STE 203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-674-2255",
            "fax_number": "808-674-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MATTHEW",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "7902",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "HI",
            "license": "MD-14911",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Abad
• Glory Gay Manera Abad
• Gloria Abatayo
• Yelissa Velazquez Abbasi, O.D.
• Andrew Masatoru Abe, PHARMD
• Kei-Ashia S Abron
• Absolute Care Hawaii Inc
• Accuimaging, LLC
• Aldridge Acidera, LMT
• Kryssel Famisan Acosta

• Oral and Maxillofacial Surgery (Dentist) in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.