Individual provider Active NPI

David T Ohara, D.D.S.

  • General Practice Dentistry
  • Waipahu, HI
National Provider Identifier
1851451686
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1742 Issued in HI
Practice address
94-889 Waipahu St Ste 105
Waipahu, HI 96797-3352
Phone
(808) 677-4508
Fax
(808) 676-1805
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 DT-1742 HI Primary

Addresses

Primary practice location

94-889 Waipahu St Ste 105
Waipahu, HI 96797-3352

Mailing address

PO Box 938
Aiea, HI 96701-0938
Phone (808) 677-4508

Other identifiers 1

IdentifierTypeStateIssuer
00588401MedicaidHI

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
DT-1742HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David T. Ohara D.D.S., Inc. CurrentSince Apr 17, 2020 Accepting new patients

Locations

94-889 Waipahu St
Ste 105
Waipahu, HI 96797
Phone (808) 677-4508

94-748 Hikimoe St
Ste F
Waipahu, HI 96797

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1851451686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967010938",
            "telephone_number": "808-677-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-889 WAIPAHU ST STE 105",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973352",
            "telephone_number": "808-677-4508",
            "fax_number": "808-676-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "DAVID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00588401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.