Individual provider Active NPI

Bruce Yasuo Todoki, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
National Provider Identifier
1871621656
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DT1456 Issued in HI
Practice address
1100 Ward Ave
Suite 815
Honolulu, HI 96814-1600
Phone
(808) 532-2055
Fax
(808) 537-1526
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DT1456 HI Primary

Addresses

Primary practice location

1100 Ward Ave
Suite 815
Honolulu, HI 96814-1600

Mailing address

1100 Ward Ave
Suite 815
Honolulu, HI 96814-1600
Phone (808) 532-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 23, 2017 through Jan 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT1456HIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Y. Todoki, D.D.S., Inc. Past Accepting new patients

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1871621656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "SUITE 815",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141600",
            "telephone_number": "808-532-2055",
            "fax_number": "808-537-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "SUITE 815",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141600",
            "telephone_number": "808-532-2055",
            "fax_number": "808-537-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOKI",
        "first_name": "BRUCE",
        "middle_name": "YASUO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.