Ivan Chuah LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2458 Issued in HI

Legal business name

IVAN CHUAH LLC

Practice address

4347 Rice St
Suite 201
Lihue, HI 96766

Phone

(808) 246-4881

Fax

(808) 246-4882

NPI assigned

Jun 4, 2018

Organization subpart

Yes

Parent organization

IVAN CHUAH LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ivan Chuah, DDSNPI 1326322272

Title

Sole Proprietor

Phone

(808) 246-4881

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Ivan Chuah LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Chuah, D.D.S.

  • Dentist
  • Lihue, HI
  • NPI 1326322272
  NPD (past) Authorized official
• Jack Lundgren, DDS

  • Dentist
  • Lihue, HI
  • NPI 1194802918
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1003308271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 RICE ST",
            "address_2": "SUITE 201",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-246-4881",
            "fax_number": "808-246-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 RICE ST",
            "address_2": "SUITE 201",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-246-4881",
            "fax_number": "808-246-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN CHUAH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IVAN CHUAH LLC",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "CHUAH",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "808-246-4881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68781602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Internal Reflections LLC
• Jessica Nicole Irani, BS
• Kyren Ishikawa, PHARMD
• Island Hand Therapy Clinic LLC
• Island Sports Chiropractic, LLC
• Matthew John Ives
• Stefani Iwami, LMFT
• Kaiea Iwasaki, OD
• Chandley Jackson
• Michelle Leigh Jackson, R. D.

• Dentist in Lihue, HI
• Providers in Lihue, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.