NPIMap

Organization Active NPI

Raymond K.L. Loo, D.D.S., Inc.

  • Dentist
  • Honolulu, HI
National Provider Identifier
1942525068
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
910 Issued in HI
Legal business name
RAYMOND K.L. LOO, D.D.S., INC.
Practice address
848 S Beretania St
Suite 305
Honolulu, HI 96813-2551
Phone
(808) 524-1102
NPI assigned
Mar 31, 2010
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Raymond K.L. Loo, D.D.S.NPI 1821134552
Title
President
Phone
(808) 524-1102

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 910 HI Primary

Addresses

Primary practice location

848 S Beretania St
Suite 305
Honolulu, HI 96813-2551

Mailing address

848 S Beretania St
Suite 305
Honolulu, HI 96813-2551
Phone (808) 524-1102

Other identifiers 1

IdentifierTypeStateIssuer
06700601MedicaidHI

National Provider Directory

National Provider Directory

Locations

848 S Beretania St
Ste 305
Honolulu, HI 96813
Phone (808) 524-1102

Practitioners & affiliated clinicians

Practitioners 3

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": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1942525068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST",
            "address_2": "SUITE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-524-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 S BERETANIA ST",
            "address_2": "SUITE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132551",
            "telephone_number": "808-524-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND K.L. LOO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "K.L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-524-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06700601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2010; 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.