DR. TERRY S MATSUMOTO (NPI# 1215151642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215151642 |
Entity Type | Individual |
Full Name | DR. TERRY S MATSUMOTO |
Credential | DMD |
Practice Address |
1441 Kapiolani Blvd Suite 820 Honolulu HI 96814-4402 |
Practice Telephone | 8089558778 |
Practice Fax Number | 8089558776 |
Mailing Telephone | 8089558778 |
Mailing Fax Number | 8089558776 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
925 | HI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | UNITED CONCORDIA | 1575781 | 01 |
HI | HMSA | J0016483 | 01 |
Street Address |
1441 KAPIOLANI BLVD SUITE 820 |
City | HONOLULU |
State | HI |
Zip Code | 96814-4402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609870666 | Samuel Chung-hang Lo | Ophthalmology | 1441 Kapiolani Blvd, Ste 418, Honolulu, HI 96814-4400 | 2005-06-08 |
1700385606 | Anthony Poon | Dentist | 1441 Kapiolani Blvd, Suite 720, Ala Moana Bldg, Honolulu, HI 96814 | 2018-02-06 |
1386177996 | Amy Harvey | Pharmacist | 1441 Kapiolani Blvd, Suite 2000, Honolulu, HI 96814-4402 | 2017-04-10 |
1164965505 | Lucas Paul Kawika Morgan | Psychologist | 1441 Kapiolani Blvd, Suite 1802, Honolulu, HI 96814-4402 | 2016-12-01 |
1376991471 | Pacific Psychology Services Center, LLC | Clinic/Center | 1441 Kapiolani Blvd, Suite 621, Honolulu, HI 96814-4402 | 2016-05-31 |
1013371491 | Chie Nishimura | Nurse Practitioner | 1441 Kapiolani Blvd, Suite 2000, Honolulu, HI 96814-4402 | 2016-04-11 |
1902264120 | Chiara Bonvini | Physical Therapist | 1441 Kapiolani Blvd, Suite 1113, Honolulu, HI 96814-4402 | 2016-02-02 |
1407228695 | Dr. Brigette F Kuhn Inc | Podiatrist | 1441 Kapiolani Blvd, Suite 1111, Honolulu, HI 96814-4402 | 2015-10-27 |
1811363385 | Julia Fagan | Social Worker | 1441 Kapiolani Blvd, Suite 1600, Honolulu, HI 96814-4402 | 2015-08-19 |
1336515592 | Oral Surgery Hawaii LLP | Dentist | 1441 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4402 | 2015-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255711784 | Ohana Endodontics, LLC | Dentist | 34 Gartley Pl, Honolulu, HI 96817-1016 | 2015-05-29 |
1649583568 | Island Endodontics, Inc | Dentist | 1441 Kapiolani Blvd Ste 820, Honolulu, HI 96814-4404 | 2010-07-20 |
1104958446 | Joseph H Chu | Dentist | 909 Kapiolani Blvd Apt 1005, Honolulu, HI 96814-2135 | 2007-03-12 |
1922177112 | Endodontic Associates Inc | Dentist | 1040 South King St Suite 406, Honolulu, HI 96814-2174 | 2006-11-06 |
1073698544 | Randall W Mikulik | Dentist | 1401 S Beretania St Ste 575, Honolulu, HI 96814-1879 | 2006-10-25 |
1780792275 | Hawaii Endodontics, Inc. | Dentist | 848 S Beretania St Ste 301, Honolulu, HI 96813-2551 | 2006-08-26 |
1063934602 | Andrew Inaba | Dentist | 1441 Kapiolani Blvd Ste 208, Honolulu, HI 96814-4400 | 2017-07-14 |
1750837829 | Jessica Liu | Dentist | 1401 S Beretania St Ste 575, Honolulu, HI 96814 | 2016-08-29 |
1750625513 | Elite Endodontics Inc | Dentist | 3221 Waialae Ave, #370, Honolulu, HI 96816-5842 | 2012-11-19 |
1326319120 | Mark D. Sakurai, D.d.s., LLC | Dentist | 1600 Kapiolani Blvd, Unit 1319, Honolulu, HI 96814-3801 | 2012-01-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.