Kona Center of Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DT1813 Issued in HI

Legal business name

KONA CENTER OF FACIAL SURGERY

Practice address

65-1230 Mamalahoa Hwy
C10-12
Kamuela, HI 96743-8318

Phone

(808) 885-9000

NPI assigned

May 21, 2009

Last updated

May 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joan M Greco, DDSNPI 1750444030

Title

President/Owner

Phone

(808) 885-9000

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan M Greco, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Kamuela, HI
  • NPI 1750444030
  NPD (past) Authorized official

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1063647931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY",
            "address_2": "C10-12",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438318",
            "telephone_number": "808-885-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY",
            "address_2": "C10-12",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438318",
            "telephone_number": "808-885-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA CENTER OF FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-885-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT1813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03442901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
            "identifier": "38042",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann K. Kim, O.D.
• Michael W Kimball, M.D.
• Cheryl Knowles, LMT/RN
• David A. Knowles, PA-C
• Kohala Coast Urgent Care LLC
• Nicole M Koranda, OTRL
• Victoria Korge, PSY.D.
• Koru Health and Beauty, LLC (Island DermNurse)
• Brian Seigo Kubo, DDS
• Stephanie Kuczynski

• Oral and Maxillofacial Surgery (Dentist) in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.