DR. LISA YUKIKO SHITAMOTO DDS
NPI 1134484009
Dentist - General Practice in Kahului, HI

Q: What is Lisa Shitamoto's NPI number?

The NPI number for Lisa Shitamoto is 1134484009. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Q: What is Lisa Shitamoto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Shitamoto was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 06, 2012PECOS Enrolled

141 MAA ST UNIT A, KAHULUI, HI 96732(808) 242-6605(808) 242-5819 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2022, Dec 11, 2017 (2 updates tracked since 2017).

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About Dr. Lisa Yukiko Shitamoto Dds NPPES

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

DR. LISA YUKIKO SHITAMOTO DDS (NPI 1134484009) is an individual general practice provider in Kahului, Hawaii, licensed in Hawaii (2477) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134484009

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LISA YUKIKO SHITAMOTOCredential: DDS

Location Address141 MAA ST UNIT AKahului, HI 96732-3603

Mailing Address141 Maa St Unit AKahului, HI 96732-3603 · (808) 242-6605 · Fax (808) 242-5819

Phone(808) 242-6605

Fax(808) 242-5819

Sole ProprietorYes

Enumeration DateJuly 6, 2012

Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration

NPPES CertifiedDecember 15, 2022

✔ NPI 1134484009 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 · 2477

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.

141 MAA ST UNIT A, Kahului, HI 96732

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Lisa Yukiko Shitamoto Dds 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 96732 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 Lisa Shitamoto's NPI number?

The NPI number for Lisa Shitamoto is 1134484009. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Lisa Shitamoto located?

Lisa Shitamoto practices at 141 Maa St Unit A, Kahului, HI 96732. The listed phone number is (808) 242-6605.

What is Lisa Shitamoto's specialty?

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

Is Lisa Shitamoto enrolled in Medicare?

Yes. Lisa Shitamoto is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Shitamoto accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Hawaii Dental Service list Lisa Shitamoto 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 Lisa Shitamoto was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.