Individual provider Active NPI

Joseph Y. Cha, D.D.S.

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1962860494
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-2731 Issued in HI
Practice address
1257 Kilauea Ave
Suite 100
Hilo, HI 96720-4205
Phone
(808) 333-3600
NPI assigned
Jan 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT-2731 HI Primary

Addresses

Primary practice location

1257 Kilauea Ave
Suite 100
Hilo, HI 96720-4205

Mailing address

1257 Kilauea Ave Ste 100
Hilo, HI 96720-4205

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
I20161117001886 HI Order and Referring Only - DentistPractitioner - Dentist 6103105937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-2731HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Big Island Dentistry LLC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1962860494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 KILAUEA AVE STE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 KILAUEA AVE",
            "address_2": "SUITE 100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204205",
            "telephone_number": "808-333-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "JOSEPH",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.