Mauna Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAUNA FAMILY DENTAL

Practice address

280 Ponahawai St Ste 201
Hilo, HI 96720-3075

Phone

(808) 935-5488

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Khealynn Harris, DMD

Title

Co- Owner

Phone

(801) 857-8001

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rachel Noelani Jahraus

  • General Practice Dentistry
  • Hilo, HI
  • NPI 1114552304
  NPD
• David Street Shirecliffe, DDS

  • General Practice Dentistry
  • Galt, CA
  • NPI 1376218065
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1013683358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PONAHAWAI ST STE 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203075",
            "telephone_number": "808-935-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PONAHAWAI ST STE 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203075",
            "telephone_number": "808-935-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUNA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KHEALYNN",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "801-857-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Matsuoka
• Don Toshio Matsuura, MD
• Peter Arnold Matsuura, M.D.
• Sonya Matsuura
• Joseph Mattos
• Mauna Kea Medical Services
• Ruth Ramos Mauricio, M.S. P.T.
• Charles Thomas Mauro IV, MD
• Benjamin Aron Mayer
• Chansen McAllister

• Dental Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.