JACLYN M LUM DDS
NPI 1285885137
Dentist - General Practice in Honolulu, HI

Q: What is Jaclyn Lum's NPI number?

The NPI number for Jaclyn Lum is 1285885137. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Q: What is Jaclyn Lum'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 Jaclyn Lum was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 08, 2008PECOS Enrolled

1109 YOUNG ST, STE 106, HONOLULU, HI 96814(808) 591-0086 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jaclyn M Lum Dds NPPES

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

JACLYN M LUM DDS (NPI 1285885137) is an individual general practice provider in Honolulu, Hawaii, licensed in Hawaii (DT 2358) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285885137

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJACLYN M LUMCredential: DDS

Location Address1109 YOUNG ST, STE 106Honolulu, HI 96814-1990

Mailing Address1109 Young St, Ste 106Honolulu, HI 96814-1990 · (808) 591-0086

Phone(808) 591-0086

Sole ProprietorYes

Enumeration DateOctober 8, 2008

✔ NPI 1285885137 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 · DT 2358

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.

1109 YOUNG ST, 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)

Jaclyn M Lum 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 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BYRON GOON NEU YOUNG M.D.

Internal Medicine

1109 YOUNG ST, SUITE 104
HONOLULU, HI 96814

Honolulu County (808) 589-1777

CALBERT M LUM D.D.S.

Dentist (General Practice)

1109 YOUNG ST
HONOLULU, HI 96814

Honolulu County (808) 591-0086

CALBERT M B LUM, DDS, INC

Dentist (General Practice)

1109 YOUNG ST, STE 106
HONOLULU, HI 96814

Honolulu County (808) 591-0086

BYRON G. YOUNG M.D. INC

Internal Medicine

1109 YOUNG ST, SUITE 104
HONOLULU, HI 96814

Honolulu County (808) 589-1777

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 Jaclyn Lum's NPI number?

The NPI number for Jaclyn Lum is 1285885137. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Jaclyn Lum located?

Jaclyn Lum practices at 1109 Young St Ste 106, Honolulu, HI 96814. The listed phone number is (808) 591-0086.

What is Jaclyn Lum's specialty?

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

Is Jaclyn Lum enrolled in Medicare?

Yes. Jaclyn Lum is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Lum 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 Jaclyn Lum 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 Jaclyn Lum was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.