ELLSWORTH H TAKATA JR. D.D.S.
NPI 1306996939
Dentist - Pediatric Dentistry in Hilo, HI

Active since January 12, 2007
445 WAIANUENUE AVE, HILO, HI 96720(808) 935-3351 Get Directions Write a Review

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

About Ellsworth H Takata Jr. D.d.s. NPPES

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

ELLSWORTH H TAKATA JR. D.D.S. (NPI 1306996939) is an individual pediatric dentistry provider in Hilo, Hawaii, licensed in Hawaii (751) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1306996939
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameELLSWORTH H TAKATA JR.Credential: D.D.S.
Location Address445 WAIANUENUE AVEHilo, HI 96720-2535
Mailing Address445 Waianuenue AveHilo, HI 96720-2535
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1306996939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in HI · 751
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
445 WAIANUENUE AVE, Hilo, HI 96720

Other Identifiers 3

Other6008HI · Hawaii Dental Service
OtherA8706-2HI · Hmsa
Medicaid52614701HI

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
445 WAIANUENUE AVE
HILO, HI 96720
Dentist (Pediatric Dentistry)
445 WAIANUENUE AVE
HILO, HI 96720
Dentist (General Practice)
445 WAIANUENUE AVE
HILO, HI 96720

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 Ellsworth Takata's NPI number?

The NPI number for Ellsworth Takata is 1306996939. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Ellsworth Takata located?

Ellsworth Takata practices at 445 Waianuenue Ave, Hilo, HI 96720. The listed phone number is (808) 935-3351.

What is Ellsworth Takata's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ellsworth Takata 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.