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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JASON BEN NISHIKUBO D.M.D.
NPI 1417330978
Dentist - General Practice in Fpo, AP

Active since July 02, 2015

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Nov 2, 2023 (2 updates tracked since 2023).

About Dr. Jason Ben Nishikubo D.m.d. NPPES

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

DR. JASON BEN NISHIKUBO D.M.D. (NPI 1417330978) is an individual general practice provider in Fpo, AP, licensed in Hawaii (DT2601) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1417330978
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JASON BEN NISHIKUBOCredential: D.M.D.
Location AddressPSC 475 BOX 1Fpo, AP 96350-1200
Mailing Address72650 Fred Waring Dr Ste 107Palm Desert, CA 92260-5007 · (760) 341-8414
Phone(315) 243-8808
Sole ProprietorNo
Enumeration DateJuly 2, 2015
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1417330978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in HI · DT2601
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.
Also ListedDentistTaxonomy 122300000X · License DT2601 (HI)

Other Providers at the Same Location NPPES 20

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

DR. ANTHONY JAMES MARIN D.D.S.
Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5069
JASON PAUL JENSEN OTR/L, CHT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5348
ANDREA L HAYES MSH, RD/RN
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8658
MR. SAMUEL FOSTER OT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 253-4562
KIRSTEN LEANNE SANDOVAL
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(818) 277-9111
DR. MIRIAM BEHPOUR DMD
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-7144
PHILIP DEAN PETERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8560
JON STOCKTON MD, MPHIL
Anesthesiology
PSC 475 BOX 1
FPO, AP 96350
(303) 898-0208

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 Jason Nishikubo's NPI number?

The NPI number for Jason Nishikubo is 1417330978. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Jason Nishikubo located?

Jason Nishikubo practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (315) 243-8808.

What is Jason Nishikubo's specialty?

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

When was this NPI record last updated?

The NPPES record for Jason Nishikubo was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.