SCOTT S. SHIMABUKURO, DDS (NPI# 1073153789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153789 |
| Entity Type | Organization |
| Organization Name | SCOTT S. SHIMABUKURO, DDS |
| Practice Address |
2-2389 Kaumualii Hwy Kalaheo HI 96741 |
| Mailing Address |
Po Box 427 Kalaheo HI 96741-0427 |
| Practice Telephone | 8083327088 |
| Practice Fax Number | 8083327045 |
| Mailing Telephone | 8083327088 |
| Mailing Fax Number | 8083327045 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | DR. SCOTT SHIMABUKURO (GENERAL DENTIST) |
| Authorized Official Telephone | 8083327088 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2-2389 KAUMUALII HWY |
| City | KALAHEO |
| State | HI |
| Zip Code | 96741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712926 | Krystin Mahealani Yasay | Pharmacist | 2436 Kaumuali'i Hwy, Kalaheo, HI 96741 | 2020-05-22 |
| 1730731662 | Shea Scott Shimabukuro | Dentist | 2-2389 Kaumualii Highway, Kalaheo, HI 96741 | 2019-07-11 |
| 1104294297 | Brian A Carter Inc | Pharmacy | 2436 Kaumualii Highway, Kalaheo, HI 96741 | 2015-09-08 |
| 1821341181 | Theresa Wiederoder | Physical Therapist | 1178 Pua Melia St, Kalaheo, HI 96741 | 2012-10-23 |
| 1255634580 | Kauai Medical Transport, Inc. | Non-emergency Medical Transport (VAN) | 5107 Puuwai Rd., Kalaheo, HI 96741 | 2010-12-08 |
| 1740513860 | Alison Ebata | Acupuncturist | 4427 Papalina Road, Kalaheo, HI 96741 | 2009-09-08 |
| 1225271802 | Laura Michele | Acupuncturist | 4427 Papalina, Kalaheo, HI 96741 | 2009-04-13 |
| 1124215025 | Melinda Elizabeth Helen Murray | Occupational Therapist | 1196 Nohea St., Kalaheo, HI 96741 | 2007-09-25 |
| 1376741496 | Michele A. Rodgaard-mcginley | Social Worker | 2-2514 Kaumualii Hwy., Suite 105, Kalaheo, HI 96741 | 2007-07-10 |
| 1568514370 | Scott S Shimabukuro | Dentist | 2 2389 Kaumualii Hwy, Kalaheo, HI 96741 | 2007-01-18 |
| Find all providers in zip 96741 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300614 | Ji S Kim | Clinic/Center | 95-1095 Ainamakua Drive, Suite 5/7 A, Mililani, HI 96789 | 2020-06-16 |
| 1164067682 | Dental World Kaneohe LLC | Clinic/Center | 46-005 Kawa St Ste 204, Kaneohe, HI 96744-3812 | 2019-11-07 |
| 1760027288 | Big Island Smiles Orthodontocs LLC | Clinic/Center | 76-6225 Kuakini Hwy Ste B101, Kailua Kona, HI 96740-3223 | 2019-11-07 |
| 1851864920 | Aloha Family Dentistry Hawaii | Clinic/Center | 45-1144 Kamehameha Hwy Ste 304, Kaneohe, HI 96744-3226 | 2019-01-10 |
| 1891268108 | Kahului Dentists LLC | Clinic/Center | 270 Dairy Rd Ste 160, Kahului, HI 96732-2986 | 2019-01-09 |
| 1558839589 | Kidshine Kapolei LLC | Clinic/Center | 590 Farrington Hwy Unit 155, Kapolei, HI 96707-2011 | 2018-11-07 |
| 1528548716 | Lisa Valderueda, Dmd, Inc. | Clinic/Center | 94-229 Waipahu Depot St Ste 500, Waipahu, HI 96797-3035 | 2018-08-16 |
| 1033695382 | Clarence K.m. Young, D.d.s. | Clinic/Center | 1150 S King St Ste 503, Honolulu, HI 96814-1952 | 2018-07-18 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1932695327 | Robert K. Azama, D.m.d. | Clinic/Center | 850 Kamehameha Hwy Ste 115, Pearl City, HI 96782-2603 | 2018-07-09 |
| Find all providers with the same taxonomy | ||||
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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.