RUSSELL JUN SUNG TOM D.D.S
NPI 1205974177
Dentist - General Practice in Honolulu, HI

Q: What is Russell Tom's NPI number?

The NPI number for Russell Tom is 1205974177. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Q: What is Russell Tom'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 Russell Tom 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.

Active since February 02, 2007PECOS Enrolled

1481 S KING ST STE 504, HONOLULU, HI 96814(808) 944-1001 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Russell Jun Sung Tom D.d.s NPPES

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

RUSSELL JUN SUNG TOM D.D.S (NPI 1205974177) is an individual general practice provider in Honolulu, Hawaii, licensed in Hawaii (H01006809) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205974177

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRUSSELL JUN SUNG TOMCredential: D.D.S

Location Address1481 S KING ST STE 504Honolulu, HI 96814-2605

Mailing Address1481 S King St Ste 504Honolulu, HI 96814-2605 · (808) 944-1001

Phone(808) 944-1001

Sole ProprietorYes

Enumeration DateFebruary 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205974177 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 · H01006809

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.

1481 S KING ST STE 504, Honolulu, HI 96814

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Russell Jun Sung Tom 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 Russell Tom's NPI number?

The NPI number for Russell Tom is 1205974177. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Russell Tom located?

Russell Tom practices at 1481 S King St Ste 504, Honolulu, HI 96814. The listed phone number is (808) 944-1001.

What is Russell Tom's specialty?

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

Is Russell Tom enrolled in Medicare?

Yes. Russell Tom is registered in the Medicare PECOS enrollment system.

What insurance does Russell Tom 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 5 other insurers list Russell Tom 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 Russell Tom 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.