Organization Active NPI

Smiles for Keiki Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Honolulu, HI
National Provider Identifier
1043744170
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DT-2646 Issued in HI
Legal business name
SMILES FOR KEIKI PEDIATRIC DENTISTRY, LLC
Practice address
4211 Waialae Ave Ste 201
Honolulu, HI 96816-5312
Phone
(808) 737-0076
NPI assigned
Apr 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. Audrey Navarro Rawson, DDS
Title
Pediatric Dentist
Phone
(951) 543-7439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DT-2646 HI Primary

Addresses

Primary practice location

4211 Waialae Ave Ste 201
Honolulu, HI 96816-5312

Mailing address

4211 Waialae Ave Ste 201
Honolulu, HI 96816-5312
Phone (808) 737-0076

National Provider Directory

National Provider Directory

Locations

4211 Waialae Ave
Ste 201
Honolulu, HI 96816
Phone (808) 737-0076

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1043744170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165312",
            "telephone_number": "808-737-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165312",
            "telephone_number": "808-737-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR KEIKI PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "RAWSON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "NAVARRO",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "951-543-7439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT-2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.