Individual provider Active NPI

Sean Ashley-Nainoa Gurney, DDS

  • Endodontics
  • Honolulu, HI
National Provider Identifier
1861691743
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2064 Issued in HI
Practice address
1040 S King St
Suite 406
Honolulu, HI 96814-2117
Phone
(808) 591-1515
Fax
(808) 593-8628
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2064 HI Primary

Addresses

Primary practice location

1040 S King St
Suite 406
Honolulu, HI 96814-2117

Mailing address

1040 S King St
Suite 406
Honolulu, HI 96814-2117
Phone (808) 591-1515

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
I20150921002326 HI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2961719158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2064HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates Inc Endodontics Past Accepting new patients
Endodontic Associates Inc Endodontics 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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1861691743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S KING ST",
            "address_2": "SUITE 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142117",
            "telephone_number": "808-591-1515",
            "fax_number": "808-593-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S KING ST",
            "address_2": "SUITE 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142117",
            "telephone_number": "808-591-1515",
            "fax_number": "808-593-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURNEY",
        "first_name": "SEAN",
        "middle_name": "ASHLEY-NAINOA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "2064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.