Organization Active NPI

Robert K. Azama, D.M.D.

  • Dental Clinic/Center
  • Pearl City, HI
National Provider Identifier
1932695327
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1072 Issued in HI
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Dr. Robert K. Azama, DMDNPI 1033268032
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04141401MedicaidHI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.