Individual provider Active NPI

Julie T. Tanabe, DDS

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1912082348
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1891 Issued in HI
Practice address
3538 Waialae Ave Ste 206
Honolulu, HI 96816-2742
Phone
(808) 734-8969
Fax
(808) 737-2634
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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-1891 HI Primary

Addresses

Primary practice location

3538 Waialae Ave Ste 206
Honolulu, HI 96816-2742

Mailing address

3538 Waialae Ave Ste 206
Honolulu, HI 96816-2742
Phone (808) 734-8969

Other identifiers 3

IdentifierTypeStateIssuer
1891OtherHIHDS PROVIDER NO.
DT 1891OtherHISTATE DENTIST LICENSE NO.
208538OtherHIHMSA PROVIDER NO.

Other names 1

  • Julie T. Tanabe Goo Former name

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-1891HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Julie T Tanabe DDS Inc General Practice 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1912082348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 WAIALAE AVE STE 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162742",
            "telephone_number": "808-734-8969",
            "fax_number": "808-737-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 WAIALAE AVE STE 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162742",
            "telephone_number": "808-734-8969",
            "fax_number": "808-737-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANABE",
        "first_name": "JULIE",
        "middle_name": "T.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS PROVIDER NO.",
            "identifier": "1891",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTIST LICENSE NO.",
            "identifier": "DT 1891",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NO.",
            "identifier": "208538",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "TANABE GOO",
            "middle_name": "T.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.