Individual provider Active NPI

Guy Masaji Horie, D.D.S.

  • General Practice Dentistry
  • Wailuku, HI
National Provider Identifier
1902956857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT1443 Issued in HI
Practice address
1836 Wili PA Loop
Wailuku, HI 96793-1272
Phone
(808) 244-9000
Fax
(808) 242-6437
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 DT1443 HI Primary

Addresses

Primary practice location

1836 Wili PA Loop
Wailuku, HI 96793-1272

Mailing address

1836 Wili PA Loop
Wailuku, HI 96793-1272
Phone (808) 244-9000

Other identifiers 1

IdentifierTypeStateIssuer
DT1443OtherHISTATE DENTAL LICENSE

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
DT1443HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902956857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 WILI PA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931272",
            "telephone_number": "808-244-9000",
            "fax_number": "808-242-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WILI PA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931272",
            "telephone_number": "808-244-9000",
            "fax_number": "808-242-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIE",
        "first_name": "GUY",
        "middle_name": "MASAJI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DT1443",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.