DR. MITCHELL PATRICK LOO (NPI# 1487901336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487901336 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL PATRICK LOO |
| Credential | D.M.D. |
| Practice Address |
1060 Young St Ste 312 Honolulu HI 96814 |
| Mailing Address |
1060 Young St Ste 312 Honolulu HI 96814-1609 |
| Practice Telephone | 8085858455 |
| Practice Fax Number | 8085858458 |
| Mailing Telephone | 8085858455 |
| Mailing Fax Number | 8085858458 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DT-2687 | HI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 S New Ballas Rd Ste 16a, Saint Louis, MO 631418239 | 3142516725 | 3142516726 |
| 94-1221 Ka Uka Blvd Ste B204, Waipahu, HI 967976202 | 8086769560 | 8086769563 |
| Street Address |
1060 YOUNG ST STE 312 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801924659 | Todd K. Haruki | Dentist | 1060 Young St Ste 312, Honolulu, HI 96814-1609 | 2007-03-02 |
| 1447547633 | Neil Oishi | Dentist | 1060 Young St Ste 312, Honolulu, HI 96814-1609 | 2011-07-07 |
| 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 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941817 | Oahu Oral and Maxillofacial Surgery | Dentist | 1441 Kapiolani Blvd Ste 920, Honolulu, HI 96814-4405 | 2020-01-08 |
| 1053545756 | Lyle C. Yanagihara Dds, Ms, Inc. | Dentist | 1441 Kapiolani Blvd Ste 1111, Honolulu, HI 96814-4406 | 2009-05-08 |
| 1801924659 | Todd K. Haruki | Dentist | 1060 Young St Ste 312, Honolulu, HI 96814-1609 | 2007-03-02 |
| 1326130717 | Lewis Walter Williamson | Dentist | 1580 Makaloa St Ste 725, Honolulu, HI 96814-3216 | 2006-09-29 |
| 1891804571 | Craig A Yamamoto | Dentist | 1441 Kapiolani Boulevard, Suite 1720, Honolulu, HI 96814 | 2006-08-29 |
| 1750375309 | George A Wessberg | Dentist | 900 Punahou St, Suite 101, Honolulu, HI 96826-2500 | 2005-09-08 |
| 1336515592 | Oral Surgery Hawaii LLP | Dentist | 1441 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4402 | 2015-08-11 |
| 1740613108 | Craig A. Yamamoto, D.d.s., Inc. | Dentist | 1441 Kapiolani Blvd Ste 1720, Honolulu, HI 96814-4407 | 2013-08-20 |
| 1447547633 | Neil Oishi | Dentist | 1060 Young St Ste 312, Honolulu, HI 96814-1609 | 2011-07-07 |
| 1730494931 | James Masataka Michino | Dentist | 1580 Makaloa Street, Suite 725, Honolulu, HI 96814-6216 | 2010-08-11 |
| 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.