Individual provider Active NPI

Eugene Yukito Yamaguma, D.D.S., M.S.D.

  • Prosthodontics
  • Wailuku, HI
National Provider Identifier
1952301509
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
01030 Issued in HI
Practice address
1885 Main St
Ste. 208
Wailuku, HI 96793-1819
Phone
(808) 242-4774
Fax
(808) 242-8445
NPI assigned
Jul 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 01030 HI Primary

Addresses

Primary practice location

1885 Main St
Ste. 208
Wailuku, HI 96793-1819

Mailing address

1885 Main St
Ste. 208
Wailuku, HI 96793-1819
Phone (808) 242-4774

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
I20150624001573 HI Order and Referring Only - DentistPractitioner - Dentist 7113238643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01030HIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Wailuku Dentists LLC Prosthodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952301509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "STE. 208",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-242-4774",
            "fax_number": "808-242-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "STE. 208",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-242-4774",
            "fax_number": "808-242-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAGUMA",
        "first_name": "EUGENE",
        "middle_name": "YUKITO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "01030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.