DR. MARVIN M. TANAKA (NPI# 1578718854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578718854 |
| Entity Type | Individual |
| Full Name | DR. MARVIN M. TANAKA |
| Credential | DDS, MS |
| Practice Address |
1703 Wili Pa Loop Ste 200 Wailuku HI 96793-1250 |
| Practice Telephone | 8082429062 |
| Practice Fax Number | 8082429062 |
| Mailing Telephone | 8082429062 |
| Enumeration Date | 2008-11-30 |
| Last Update Date | 2008-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
888 | HI | Dental Providers |
| Street Address |
1703 WILI PA LOOP STE 200 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225046386 | J. Mickey Damerell | Dentist | 1129 Lower Main St Ste 107, Wailuku, HI 96793-2054 | 2006-08-04 |
| 1902070667 | Sujata Bhatia | Dentist | 233 S Market St, Wailuku, HI 96793-2218 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055568 | Dr. Aaron Miyai Dmd | Dentist | 4347 Rice St Ste 201, Lihue, HI 96766-1335 | 2018-12-18 |
| 1972075760 | Dr. Aaron Miyai Dmd | Dentist | 505 Front St Ste 202, Lahaina, HI 96761-1190 | 2018-12-18 |
| 1497227284 | Dr. Aaron Miyai Dmd | Dentist | 31 E Lanikaula St Ste A, Hilo, HI 96720-4362 | 2018-12-18 |
| 1114354917 | Grace Chen Dds LLC | Dentist | 31 E Lanikaula St Ste B, Hilo, HI 96720-4362 | 2013-10-11 |
| 1548590375 | Randal D. Morita, D.d.s., Inc. | Dentist | 98-1247 Kaahumanu St Ste 325, Aiea, HI 96701-5301 | 2009-12-29 |
| 1487888913 | Steven K. Sue | Dentist | 2065 S King St Ste 304, Honolulu, HI 96826-2225 | 2009-05-12 |
| 1255575395 | Rodney Harwood Jones | Dentist | 146 Clark Road, Bldg 339, Fort Shafter, HI 96858 | 2009-04-20 |
| 1760625149 | Erik K. Tinhan, M.a., D.d.s., Inc. | Dentist | 98-1247 Kaahumanu St Ste 319, Aiea, HI 96701-5301 | 2009-04-14 |
| 1710127618 | Lincoln Aketomo Furuya | Dentist | 46-005 Kawa St., Suite 204, Kaneohe, HI 96744-3812 | 2009-03-05 |
| 1104065085 | Keith A. Vodzak | Dentist | 377 Keahole St., Suite #211, Honolulu, HI 96825 | 2009-02-17 |
| 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.