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Deactivated NPI 1881730794 Deactivated / Inactive NPI Male Practitioner

Dr. Clyde Takeshi Ishida , DMD

Dentist • Kapaa, HI

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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. Clyde Ishida has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2007
NPI Deactivation Date May 10, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Clyde Ishida, DMD was a registered Dentist practicing in Kapaa, HI. Throughout an active medical career spanning 16 years, Dr. Ishida provided care at the practice location at 4562 KUKUI STREET until profile deactivation on 2023-05-10.

Practice Location & Contact Primary Location

Practice Address

4562 Kukui Street

Kapaa, HI 96746

Telephone 8088224906
Fax 8088222459

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Kapaa, HI

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

Practicing in Kapaa, 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 989

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
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NPI Profile Deactivated May 10, 2023

Record deactivated on May 10, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4562 KUKUI STREET, KAPAA, HI 96746 (Tel: 8088224906)

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Updated Business Mailing Address July 08, 2007

Registered at 4562 KUKUI STREET, KAPAA, HI 96746 (Tel: 8088224906)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CLYDE ISHIDA, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #989 in HI)

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Initial NPI Registration & Enumeration January 29, 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: 1881730794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: July 08, 2007
Deactivation Date: May 10, 2023

Mailing Address

4562 Kukui Street

Kapaa, HI 96746

Phone: 8088224906

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.