Active NPI
Robert K. Azama, D.M.D.
- Dental Clinic/Center
- Pearl City, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1072
- Legal business name
- ROBERT K. AZAMA, D.M.D.
- Practice address
- 850 Kamehameha Hwy Ste 115
Pearl City, HI 96782-2603 - Phone
- (808) 455-8577
- NPI assigned
- Jul 9, 2018
- Last updated
- Jul 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert K. Azama, DMD
- Title
- Owner
- Phone
- (808) 455-8577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1072 | HI | Primary |
Addresses
Primary practice location
850 Kamehameha Hwy Ste 115
Pearl City, HI 96782-2603
Mailing address
850 Kamehameha Hwy Ste 115
Pearl City, HI 96782-2603
Phone (808) 455-8577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04141401 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
850 Kamehameha Hwy
Ste 115
Pearl City, HI 96782
Phone (808) 455-8577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Pearl City, HI
- NPI 1033268032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531094400000",
"number": "1932695327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 KAMEHAMEHA HWY STE 115",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967822603",
"telephone_number": "808-455-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KAMEHAMEHA HWY STE 115",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967822603",
"telephone_number": "808-455-8577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT K. AZAMA, D.M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-09",
"last_updated": "2018-07-09",
"status": "A",
"authorized_official_last_name": "AZAMA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-455-8577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "HI",
"license": "1072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04141401",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearl City, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.