DR. RICHARD CHISHOLM WAGNER (NPI# 1619019676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619019676 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CHISHOLM WAGNER |
| Credential | D.D.S |
| Practice Address |
1150 S King St Ste 303 Honolulu HI 96814-1951 |
| Practice Telephone | 8085891500 |
| Practice Fax Number | 8085891220 |
| Mailing Telephone | 8085891500 |
| Mailing Fax Number | 8085891220 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DT-1272 | HI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528304334 | Richard Wagner | Counselor | 5132 Mimosa Drive, Bellaire, TX 77401 | 2012-12-26 |
| 1326359423 | Richard Ross Wagner | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2010-06-23 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1134443559 | Richard Alan Wagner | Pharmacist | 23631 Dane Ct, Laguna Niguel, CA 92677-4618 | 2010-03-15 |
| 1043470214 | Richard W Wagner Jr. | Dentist | 123 W Franklin St, Suite 201, Chapel Hill, NC 27516-2524 | 2008-06-11 |
| 1962621631 | Richard Wagner | Specialist | 1789 Rebecca Lane, Coupeville, WA 98239-0339 | 2007-04-24 |
| 1770700957 | Richard M Wagner | Dentist | 1925 South Green Bay Rd, Racine, WI 53406-4654 | 2007-04-19 |
| 1134236334 | Richard Laverne Wagner | Psychiatry & Neurology | 12 Benevolent St, Providence, RI 02906-1103 | 2006-08-24 |
| 1669488946 | Richard Wagner | Psychiatry & Neurology | 101 Lions Dr, Suite 119, Barrington, IL 60010-3181 | 2006-07-31 |
| 1194752683 | Richard Otto Wagner | Radiology | N116w17866 Blackstone Cir, Germantown, WI 53022-5665 | 2006-06-28 |
| Street Address |
1150 S KING ST STE 303 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-1951 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862977 | Leilani C. Curameng Dmd LLC | Dentist | 677 Ala Moana Blvd Ste 304, Honolulu, HI 96813-5415 | 2018-05-22 |
| 1164925764 | Christopher Thuc Wu Jr. | Dentist | Queen's Medical Center- Dental Clinic, 1301 Punchbowl St, Honolulu, HI 96813 | 2018-03-10 |
| 1821516097 | Bryson Chang | Dentist | 3270 Waialae Ave, Honolulu, HI 96816-5836 | 2017-09-07 |
| 1114442217 | Yunah Park | Dentist | 500 Ala Moana Boulevard, Seven Waterfront Plaza, #220, Honolulu, HI 96813 | 2017-08-09 |
| 1578934857 | Stuart Ueda, D.m.d. | Dentist | 738 Kaheka St Ste 205, Honolulu, HI 96814-3726 | 2015-10-13 |
| 1780050112 | Kentaro Matsumoto | Dentist | 1010 S King St Ste 206, Honolulu, HI 96814-1703 | 2015-08-20 |
| 1386050508 | Century Dental, LLC | Dentist | 1188 Bishop St Ste 3508, Honolulu, HI 96813-3314 | 2014-07-08 |
| 1649610403 | Elsa F Mueller | Dentist | 1737 Nalulu Pl, Honolulu, HI 96821-1338 | 2013-06-26 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1790121739 | Salt Lake Family Dentistry | Dentist | 848 Ala Lilikoi St Ste 112, Honolulu, HI 96818-2109 | 2013-05-16 |
| 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.