DR. CLIFFORD J. OMURA D.D.S.
NPI 1073603619
Dentist - General Practice in Honolulu, HI

Active since October 13, 2006PECOS Enrolled
1150 S KING ST STE 305, HONOLULU, HI 96814(808) 593-2999 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clifford J. Omura D.d.s. NPPES

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

DR. CLIFFORD J. OMURA D.D.S. (NPI 1073603619) is an individual general practice provider in Honolulu, Hawaii, licensed in Hawaii (1185) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073603619
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLIFFORD J. OMURACredential: D.D.S.
Location Address1150 S KING ST STE 305Honolulu, HI 96814-1951
Mailing Address1150 S King St Ste 305Honolulu, HI 96814-1951 · (808) 593-2999
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073603619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in HI · 1185
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1150 S KING ST STE 305, Honolulu, HI 96814

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Clifford J. Omura D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Clifford Omura's NPI number?

The NPI number for Clifford Omura is 1073603619. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Clifford Omura located?

Clifford Omura practices at 1150 S King St Ste 305, Honolulu, HI 96814. The listed phone number is (808) 593-2999.

What is Clifford Omura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Clifford Omura enrolled in Medicare?

Yes. Clifford Omura is registered in the Medicare PECOS enrollment system.

What insurance does Clifford Omura accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Clifford Omura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clifford Omura was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.