Organization Active NPI

Kaimuki Center for Dentistry

  • Dentist
  • Honolulu, HI
National Provider Identifier
1063544831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1192 Issued in HI
Legal business name
KAIMUKI CENTER FOR DENTISTRY
Practice address
3221 Waialae Ave
376
Honolulu, HI 96816-5842
Phone
(808) 737-9032
Fax
(808) 737-0290
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip K B Tom, DDS
Title
Dentist
Phone
(808) 737-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1192 HI Primary

Addresses

Primary practice location

3221 Waialae Ave
376
Honolulu, HI 96816-5842

Mailing address

3221 Waialae Ave
Ste 376
Honolulu, HI 96816-5842
Phone (808) 737-9032

Other names 1

  • Philip K. B. Tom, DDS, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063544831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "STE 376",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165842",
            "telephone_number": "808-737-9032",
            "fax_number": "808-737-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "376",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165842",
            "telephone_number": "808-737-9032",
            "fax_number": "808-737-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIMUKI CENTER FOR DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "K B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-737-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip K. B. Tom, DDS, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.