Individual provider Active NPI

Leina Noriko Mizusawa, DDS

  • General Practice Dentistry
  • Waipahu, HI
National Provider Identifier
1982388088
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3243 Issued in HI
Practice address
94-779 Farrington Hwy Ste 301
Waipahu, HI 96797-3175
Phone
(808) 671-5555
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 3243 HI Primary

Addresses

Primary practice location

94-779 Farrington Hwy Ste 301
Waipahu, HI 96797-3175

Mailing address

99-103 Pamoho PL
Aiea, HI 96701-4125
Phone (808) 754-1159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3243HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dental of Connecticut, PC General Practice PastSince Jun 1, 2023 Accepting new patients
Hamden Plaza Family Dental, PC PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1982388088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-103 PAMOHO PL",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014125",
            "telephone_number": "808-754-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-779 FARRINGTON HWY STE 301",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973175",
            "telephone_number": "808-671-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUSAWA",
        "first_name": "LEINA",
        "middle_name": "NORIKO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.