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NPI Code Detail

MEDICARE: DR. JASON Y HIRAMOTO DDS

MEDICARE: DR. JASON Y HIRAMOTO DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDT1794HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2179401OTHERHIHDS
399-0149797OTHERHIHMAA
40000201509OTHERHIHMSA-PRIVATE
5A01030-4OTHERHIHMSA-QUES

General Provider Information

NPI Number : 1568546752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON Y HIRAMOTO DDS
Provider Business Mailing Address
First Line : 2239 N SCHOOL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96819-2539
Country : US
Telephone Number : 808-791-9400
Fax Number : 808-848-0979
Provider Business Practice Location Address
First Line : 2239 N SCHOOL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96819-2539
Country : US
Telephone Number : 808-791-9400
Fax Number : 808-848-0979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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