Organization Active NPI

West Kauai Dental LLC

  • General Practice Dentistry
  • Hanapepe, HI
National Provider Identifier
1053966689
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 9, 2019

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.