Ken Matsuo Yamashiro, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1110 Issued in HI

Practice address

1142 Kinoole St
1142 Kinoole St
Hilo, HI 96720-4132

Phone

(808) 961-3911

Fax

(808) 933-9293

NPI assigned

Feb 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ken M Yamashiro DDS Inc

  • Dentist
  • Hilo, HI
  • NPI 1336405091
  NPD (past) Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1861765604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 KINOOLE ST",
            "address_2": "1142 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204132",
            "telephone_number": "808-961-3911",
            "fax_number": "808-933-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 KINOOLE ST",
            "address_2": "1142 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204132",
            "telephone_number": "808-961-3911",
            "fax_number": "808-933-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASHIRO",
        "first_name": "KEN",
        "middle_name": "MATSUO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Yamamoto
• Doris Yamanoha, RD
• Karla R Yamanoha
• Tracy Miyoko Taniguchi Yamasaki, PSY.D.
• Zachary H Yamasaki, L.AC
• Douglas Hiroshi Yamashita, MD
• Jenna Yamashita
• Kai Isao Yamashita, PHARM D.
• Jo-Shane Yamauchi
• Carol Akiko Yanagisawa

• General Practice Dentistry in Hilo, HI
• Providers in Hilo, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.