Individual provider Active NPI

Steven S Kanemoto, D.M.D.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1841376936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1020 Issued in HI
Practice address
934 Punahou St
Honolulu, HI 96826-2522
Phone
(808) 949-8341
Fax
(808) 949-0160
NPI assigned
Oct 31, 2006
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
General Practice Dentistry 1223G0001X 1020 HI Primary

Addresses

Primary practice location

934 Punahou St
Honolulu, HI 96826-2522

Mailing address

934 Punahou St
Honolulu, HI 96826-2522
Phone (808) 949-8341

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150623000194 HI Order and Referring Only - DentistPractitioner - Dentist 5890006597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841376936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262522",
            "telephone_number": "808-949-8341",
            "fax_number": "808-949-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262522",
            "telephone_number": "808-949-8341",
            "fax_number": "808-949-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEMOTO",
        "first_name": "STEVEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.