Individual provider Active NPI

Sun Nam Oak, D.D.S

  • Dentist
  • Honolulu, HI
National Provider Identifier
1831331271
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1768 Issued in HI
Practice address
1481 S King St Ste 401
Honolulu, HI 96814-2669
Phone
(808) 946-2875
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1768 HI Primary
General Practice Dentistry 1223G0001X 1768 HI

Addresses

Primary practice location

1481 S King St Ste 401
Honolulu, HI 96814-2669

Mailing address

1481 S King St Ste 401
Honolulu, HI 96814-2669
Phone (808) 946-2875

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
1768HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak'S Dental Clinic Past Accepting new patients
Oak'S Dental Clinic Dentist Past Accepting new patients

Organizations & group practices 2

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1831331271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST STE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142669",
            "telephone_number": "808-946-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST STE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142669",
            "telephone_number": "808-946-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAK",
        "first_name": "SUN NAM",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "1768",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1768",
            "primary": false
        }
    ],
    "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 Mar 31, 2009; 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.