Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063609451 Individual Practitioner Male Practitioner

Dr. Jed P.k. Shitabata , DMD

Dentist - General Practice • Honolulu, HI

Professional Overview & Biography Verified Profile Summary

Dr. Jed Shitabata, DMD is a registered healthcare professional specializing in Dentist - General Practice in Honolulu, HI. Practice services are available at 1441 KAPIOLANI BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1441 Kapiolani Blvd
Suite 602

Honolulu, HI 968144402

Telephone 8089491995
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Honolulu, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
305 Specialists

Practicing in Honolulu, HI (740 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License HI DT-1561

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Christina Nguyen , DMD

Dentist - General Practice

NPI 1003843459

Doctor of Dental Medicine

Dr. Se Mo Suh , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003883240

Doctor of Medicine (M.D.)

NPI 1003976242

Doctor of Dental Medicine

Chie Nishimura , APRN

Nurse Practitioner - Family

NPI 1013371491

Advanced Practice Registered Nurse

NPI 1053404285

Doctor of Dental Medicine

Vivian Eng

Marriage & Family Therapist

NPI 1053728642

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 28, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2007

Registered at 1441 KAPIOLANI BLVD, SUITE 602, HONOLULU, HI 968144402 (Tel: 8089491995)

📍
Updated Business Mailing Address September 28, 2007

Registered at 1441 KAPIOLANI BLVD, SUITE 602, HONOLULU, HI 968144402 (Tel: 8089491995)

👤
Provider Name / Credentials Updated September 28, 2007

Recorded as JED SHITABATA, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2007

Dentist (License #DT-1561 in HI)

🟢
Initial NPI Registration & Enumeration September 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063609451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2007
Last Update: September 28, 2007
Sole Proprietor: Yes

Mailing Address

1441 Kapiolani Blvd, Suite 602

Honolulu, HI 968144402

Phone: 8089491995

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.