Active NPI
West Kauai Dental LLC
- General Practice Dentistry
- Hanapepe, HI
National Provider Identifier
1053966689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WEST KAUAI DENTAL LLC
- Practice address
- 3490 Hanapepe Rd
Hanapepe, HI 96716 - Phone
- (808) 335-5554
- Fax
- (808) 335-5591
- NPI assigned
- Aug 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jase Chun, DDS
- Title
- Owner
- Phone
- (808) 352-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3490 Hanapepe Rd
Hanapepe, HI 96716
Mailing address
6512 Ahele Dr
Kapaa, HI 96746-9407
Phone (808) 352-1411
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1565308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565308800000",
"number": "1053966689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 AHELE DR",
"city": "KAPAA",
"state": "HI",
"postal_code": "967469407",
"telephone_number": "808-352-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 HANAPEPE RD",
"city": "HANAPEPE",
"state": "HI",
"postal_code": "96716",
"telephone_number": "808-335-5554",
"fax_number": "808-335-5591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST KAUAI DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A",
"authorized_official_last_name": "CHUN",
"authorized_official_first_name": "JASE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-352-1411",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanapepe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.