Individual provider Active NPI

Keith William Morikawa, D.D.S.

  • Dentist
  • Honolulu, HI
National Provider Identifier
1932432234
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1390 Issued in HI
Practice address
850 W Hind Dr
Suite 112
Honolulu, HI 96821-1855
Phone
(808) 373-2184
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1390 HI Primary

Addresses

Primary practice location

850 W Hind Dr
Suite 112
Honolulu, HI 96821-1855

Mailing address

PO Box 240231
Honolulu, HI 96824-0231
Phone (808) 373-2184

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
I20170130002070 HI Order and Referring Only - DentistPractitioner - Dentist 0446532337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1390HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aina Haina Dental Group Inc Past Accepting new patients
Kristen C. Todoki, D.D.S., Inc. PastSince Dec 18, 2022 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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1932432234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240231",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968240231",
            "telephone_number": "808-373-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR",
            "address_2": "SUITE 112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211855",
            "telephone_number": "808-373-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIKAWA",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.