Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174772248 Deactivated / Inactive NPI Male Practitioner

Dr. Wayne Shizumi Atebara , DMD, MD

Dentist • Hilo, HI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wayne Atebara has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2008
NPI Deactivation Date November 29, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Atebara, DMD, MD was a registered Dentist practicing in Hilo, HI. Throughout an active medical career spanning 15 years, Dr. Atebara provided care at the practice location at 275 PONAHAWAI STREET until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

275 Ponahawai Street
Suite 101

Hilo, HI 96720

Telephone 8089348808

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hilo, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Hilo, HI (445 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License HI DT-1530

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active September 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2008

Registered at 275 PONAHAWAI STREET, SUITE 101, HILO, HI 96720 (Tel: 8089348808)

📍
Updated Business Mailing Address September 15, 2008

Registered at 275 PONAHAWAI STREET, SUITE 101, HILO, HI 96720 (Tel: 8089348808)

👤
Provider Name / Credentials Updated September 15, 2008

Recorded as WAYNE ATEBARA, D.M.D., M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2008

Dentist (License #DT-1530 in HI)

🟢
Initial NPI Registration & Enumeration September 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Wayne Atebara. Be the first to share your experience!

Sign in to leave a review for Dr. Wayne Atebara

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174772248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2008
Last Update: September 15, 2008
Deactivation Date: November 29, 2023

Mailing Address

275 Ponahawai Street, Suite 101

Hilo, HI 96720

Phone: 8089348808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.