DR. CLYDE G.C. MEW (NPI# 1417067315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417067315 |
| Entity Type | Individual |
| Full Name | DR. CLYDE G.C. MEW |
| Credential | D.D.S., M.SC.D. |
| Practice Address |
2065 S King St Suite 209 Honolulu HI 96826-2225 |
| Practice Telephone | 8089474222 |
| Mailing Telephone | 8089474222 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
942 | HI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BLUECROSSBLUESHIELD | 8811-2 | 01 |
| HI | HAWAII DENTAL LICENSE # | 942 | 01 |
| Street Address |
2065 S KING ST SUITE 209 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96826-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437588258 | Janice K. Harada, M.d., Inc. | Internal Medicine | 2065 S King St, Suite 202, Honolulu, HI 96826-2244 | 2013-11-02 |
| 1477736189 | Richard T Ikehara Md Inc | Obstetrics & Gynecology | 2065 S King St, Suite 202, Honolulu, HI 96826-2225 | 2007-12-17 |
| 1639271562 | Janice Harada | Internal Medicine | 2065 S King St, Suite 202, Honolulu, HI 96826-2225 | 2006-09-01 |
| 1023128857 | Clyde G.c. Mew, D.d.s., M.sc.d., Inc. | Clinic/Center | 2065 S King St, Suite 209, Honolulu, HI 96826-2225 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382772 | Barbora Kadecka | Pediatrics | 1319 Punahou Street #741, Pediatric Residency Program, Honolulu, HI 96826 | 2020-07-02 |
| 1134784325 | Elizabeth Mercer | Obstetrics & Gynecology | Kapiolani Medical Center, 1319 Punahou Street, #824, Honolulu, HI 96826 | 2019-05-03 |
| 1609334168 | Rebecca Lapenes | Behavior Technician | 831 Kuikahi St, Honolulu, HI 96826 | 2019-03-04 |
| 1144759507 | Sharareh Firouzbakht | Obstetrics & Gynecology | 1319 Punahou Street, #824, Honolulu, HI 96826 | 2017-06-08 |
| 1447623939 | Island Paradise Investments, Lp | Skilled Nursing Facility | 1723 Kalakaua Avenue, Honolulu, HI 96826 | 2015-11-05 |
| 1285004986 | Katie Ann Steinhelfer | Registered Nurse | 2011 Waiola St, Honolulu, HI 96826 | 2015-10-07 |
| 1528463288 | Sara Chong | Chiropractor | 500 University Ave Apt 928, Honolulu, HI 96826 | 2014-10-23 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1134436041 | Michelle K. Fukumoto | Psychologist | 1110 University Ave., Suite #403, Honolulu, HI 96826 | 2010-09-13 |
| 1497072334 | Lajwanti Devyani Singh | Social Worker | 1110 University Ave Ste 205, Honolulu, HI 96826 | 2010-05-03 |
| Find all providers in zip 96826 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831324490 | Periodontics, A Prof. Corp. | Dentist | 4211 Waialae Ave., Suite 401, Honolulu, HI 96816 | 2009-05-26 |
| 1275776189 | Edmund A. Cassella Dmd, LLC | Dentist | 1441 Kapiolani Blvd Ste 1506, Honolulu, HI 96814-4407 | 2009-04-08 |
| 1083891410 | Clyde S. Umaki | Dentist | 1833 S Beretania St, Honolulu, HI 96826-1307 | 2008-01-28 |
| 1477767051 | Michael G Ching | Dentist | 1060 Young St Ste 216, Honolulu, HI 96814-1609 | 2007-05-10 |
| 1578614558 | Lyndon Daizo Fong | Dentist | 1441 Kapiolani Blvd Ste 616, Suite 616, Honolulu, HI 96814-4403 | 2007-01-16 |
| 1609805597 | Earl William Ah Moo | Dentist | 4211 Waialae Ave., Suite 401, Honolulu, HI 96816 | 2006-07-02 |
| 1265067342 | Ryan H. Yim, Dds LLC | Dentist | 1441 Kapiolani Blvd Ste 1506, Honolulu, HI 96814-4407 | 2020-03-09 |
| 1093198863 | Ryan Yim | Dentist | 1441 Kapiolani Blvd Ste 1506, Honolulu, HI 96814 | 2015-06-29 |
| 1306228663 | Dr. Neil Furuya Dds, LLC | Dentist | 615 Piikoi St Ph 2, Honolulu, HI 96814-3138 | 2015-06-23 |
| 1013395029 | Yiu Kai Kenneth Choy | Dentist | 615 Piikoi St Ph 2, Honolulu, HI 96814-3138 | 2015-05-11 |
| Find all providers in HONOLULU | ||||
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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.