DR. BRIAN KOSHIRO MATSUMOTO DDS
Complete NPI Record 1659897049
Dentist - General Practice in Honolulu, HI
Active since August 17, 2017
500 ALA MOANA BOULEVARD, SEVEN WATERFRONT PLAZA, #220, HONOLULU, HI 96813(808) 523-3104(808) 523-3121 Get Directions
Complete NPI Dataset
This page contains the complete raw NPPES record for Dr. Brian Koshiro Matsumoto, DDS (NPI 1659897049), an individual dentist provider in Honolulu, HI. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1659897049 Field 1/30
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/30
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: MATSUMOTO Field 3/30
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: BRIAN Field 4/30
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: KOSHIRO Field 5/30
- The middle name of the provider, if the provider is an individual.
- Provider Name Prefix Text: DR. Field 6/30
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Credential Text: DDS Field 7/30
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 11611 IOWA AVE Field 8/30
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: #14 Field 9/30
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: LOS ANGELES Field 10/30
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 11/30
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 90025 Field 12/30
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 13/30
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 3109489394 Field 14/30
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 500 ALA MOANA BOULEVARD Field 15/30
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SEVEN WATERFRONT PLAZA, #220 Field 16/30
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: HONOLULU Field 17/30
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: HI Field 18/30
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 96813 Field 19/30
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 20/30
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8085233104 Field 21/30
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8085233121 Field 22/30
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: M Field 25/30
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 1223G0001X Field 26/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: DT-2715 Field 27/30
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: HI Field 28/30
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 30/30
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
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