1366506248 NPI number — KENNETH H. ARAKAWA, DDS, INC.

Table of content: (NPI 1366506248)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366506248 NPI number — KENNETH H. ARAKAWA, DDS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KENNETH H. ARAKAWA, DDS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366506248
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1441 KAPIOLANI BLVD
Provider Second Line Business Mailing Address:
SUITE 1225
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96814-4402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-942-9999
Provider Business Mailing Address Fax Number:
808-942-7070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1441 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 1225
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-942-9999
Provider Business Practice Location Address Fax Number:
808-942-7070
Provider Enumeration Date:
12/21/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARAKAWA
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-942-9999

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  1830 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 275783 . This is a "UNITED CONCORDIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: C21457-1 . This is a "HAWAII MED. SERVICE ASSN." identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1830 . This is a "HAWAII DENTAL SERVICE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".