Individual provider Active NPI

Michael K Sakuda, DDS

  • Dentist
  • Kailua, HI
National Provider Identifier
1982601753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT1902 Issued in HI
Practice address
40 Aulike St
Suite 214
Kailua, HI 96734-2758
Phone
(808) 261-1968
Fax
(808) 262-6232
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT1902 HI Primary

Addresses

Primary practice location

40 Aulike St
Suite 214
Kailua, HI 96734-2758

Mailing address

40 Aulike St
Suite 214
Kailua, HI 96734-2758
Phone (808) 261-1968

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT1902HIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982601753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 214",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-261-1968",
            "fax_number": "808-262-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 214",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-261-1968",
            "fax_number": "808-262-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKUDA",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.