Active NPI
Lyle Craig Yanagihara, DDS MS
- Oral and Maxillofacial Pathology Dentistry
- Honolulu, HI
National Provider Identifier
1831280072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DT1728
- Practice address
- 1441 Kapiolani Blvd
Suite #1111
Honolulu, HI 96814-4402 - Phone
- (808) 973-1433
- Fax
- (808) 973-3929
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DT1728 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd
Suite #1111
Honolulu, HI 96814-4402
Mailing address
1441 Kapiolani Blvd
Suite #1111
Honolulu, HI 96814-4402
Phone (808) 973-1433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 28, 2016 through Jun 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT1728 | HI | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831280072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"address_2": "SUITE #1111",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144402",
"telephone_number": "808-973-1433",
"fax_number": "808-973-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"address_2": "SUITE #1111",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144402",
"telephone_number": "808-973-1433",
"fax_number": "808-973-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAGIHARA",
"first_name": "LYLE",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "HI",
"license": "DT1728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.