PACIFIC MAXILLOFACIAL CENTER, LLC
NPI 1003839069
Clinic/Center - Oral and Maxillofacial Surgery in Honolulu, HI

Active since July 25, 2006
1060 YOUNG ST, SUITE 312, HONOLULU, HI 96814(808) 585-8455(808) 585-8458 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Pacific Maxillofacial Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC MAXILLOFACIAL CENTER, LLC (NPI 1003839069) is a healthcare organization registered as an oral and maxillofacial surgery in Honolulu, Hawaii and active in the NPI registry since July 2006. The organization lists Todd K. Haruki, President, as its authorized official.

NPPES Registry Identity

NPI1003839069
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NamePACIFIC MAXILLOFACIAL CENTER, LLC
Location Address1060 YOUNG ST, SUITE 312Honolulu, HI 96814-1609
Mailing Address1060 Young St, Suite 312Honolulu, HI 96814-1609 · (808) 585-8455 · Fax (808) 585-8458
Fax(808) 585-8458
Organization SubpartNo
Authorized OfficialTodd K. HarukiPresident · (808) 585-8455
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1003839069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1060 YOUNG ST, Honolulu, HI 96814

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Maxillofacial Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pacific Maxillofacial Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Maxillofacial Surgery
NPI 1801924659
1060 YOUNG ST STE 312
Honolulu, HI 96814
(808) 585-8455
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1447547633
1060 YOUNG ST STE 312
Honolulu, HI 96814
(808) 585-8455
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1487901336
2835 SAINT ROSE PKWY STE 100
Henderson, NV 89052
(702) 900-4780
✔ PECOS2,760 mi
Oral Surgery
NPI 1518113117
3233 N 70TH ST UNIT 1014
Scottsdale, AZ 85251
(631) 804-2952
✔ PECOS2,918 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Maxillofacial Center, LLC's NPI number?

The NPI number for Pacific Maxillofacial Center, LLC is 1003839069. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Pacific Maxillofacial Center, LLC located?

Pacific Maxillofacial Center, LLC is located at 1060 Young St Suite 312, Honolulu, HI 96814. The listed phone number is (808) 585-8455.

What is Pacific Maxillofacial Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Pacific Maxillofacial Center, LLC enrolled in Medicare?

Yes. Pacific Maxillofacial Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Maxillofacial Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pacific Maxillofacial Center, LLC, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Maxillofacial Center, LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.