PACIFIC MAXILLOFACIAL CENTER, INC. (NPI# 1518986579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518986579 |
| Entity Type | Organization |
| Organization Name | PACIFIC MAXILLOFACIAL CENTER, INC. |
| Practice Address |
1060 Young St Suite 312 Honolulu HI 96814-1609 |
| Practice Telephone | 8085858455 |
| Practice Fax Number | 8085858458 |
| Mailing Telephone | 8085858455 |
| Mailing Fax Number | 8085858458 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TODD K HARUKI (PRESIDENT) |
| Authorized Official Telephone | 8085858455 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003839069 | Pacific Maxillofacial Center, Inc. | Clinic/Center | 1060 Young St, Suite 312, Honolulu, HI 96814-1609 | 2006-07-25 |
| Street Address |
1060 YOUNG ST SUITE 312 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912955253 | Stewart Y. Matsumoto | Internal Medicine | 1060 Young St, Suite 325, Honolulu, HI 96814-1609 | 2006-05-05 |
| 1518277383 | Akamai Hearing Aids, Inc. | Hearing Aid Equipment | 1060 Young St, 318, Honolulu, HI 96814-1609 | 2010-10-14 |
| 1689981144 | Hps Inc | Nursing Care | 1060 Young St, Honolulu, HI 96814-1609 | 2010-09-06 |
| 1649405937 | Michael G. Ching, D.d.s., M.s., & Susan N. Mizuno, D.d.s., M.s., Inc. | Dentist | 1060 Young St, Ste. 216, Honolulu, HI 96814-1609 | 2009-05-15 |
| 1508090838 | David K I Yee Dds, LLC | Clinic/Center | 1060 Young St, Suite 310, Honolulu, HI 96814-1609 | 2009-05-14 |
| 1235387408 | Arthur T Kamisugi | Dentist | 1060 Young St, Suite 201, Honolulu, HI 96814-1609 | 2008-08-29 |
| 1689821522 | Malia Kiku Pietsch Kamisugi | Dentist | 1060 Young St, Suite 201, Honolulu, HI 96814-1609 | 2008-08-21 |
| 1750574166 | Emmanuel Taylor | Dentist | 1060 Young St, Suite 312, Honolulu, HI 96814-1609 | 2007-08-20 |
| 1861698193 | Justin Micah Hollar | Dentist | 1060 Young St, Suite 312, Honolulu, HI 96814-1609 | 2007-06-24 |
| 1023226099 | Jason C Joe | Dentist | 1060 Young St, Suite 323, Honolulu, HI 96814-1609 | 2007-05-21 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
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| 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 | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1437382553 | Bruce Y. Todoki, D.d.s., Inc. | Clinic/Center | 1100 Ward Ave, Suite 815, Honolulu, HI 96814-1600 | 2009-08-25 |
| 1003839069 | Pacific Maxillofacial Center, Inc. | Clinic/Center | 1060 Young St, Suite 312, Honolulu, HI 96814-1609 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948642 | Oahu Oral and Maxillofacial Surgery | Clinic/Center | 45-1144 Kam Hwy Ste 301, Kaneohe, HI 96744-3226 | 2017-08-16 |
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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.