Organization Active NPI

Kaneohe Smile Center

  • Dental Clinic/Center
  • Kaneohe, HI
National Provider Identifier
1063938389
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KANEOHE SMILE CENTER
Practice address
45-1127 Kamehameha Hwy Ste a
Kaneohe, HI 96744-3200
Phone
(898) 247-6575
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Dr. Alison Kawazoe, DMDNPI 1811210875
Title
Owner
Phone
(808) 247-6575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

45-1127 Kamehameha Hwy Ste a
Kaneohe, HI 96744-3200

Mailing address

45-1127 Kamehameha Hwy Ste a
Kaneohe, HI 96744-3200
Phone (808) 247-6575

National Provider Directory

National Provider Directory

Locations

45-1127 Kamehameha Hwy
Ste A
Kaneohe, HI 96744
Phone (808) 247-6575

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": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1063938389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1127 KAMEHAMEHA HWY STE A",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443200",
            "telephone_number": "808-247-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1127 KAMEHAMEHA HWY STE A",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443200",
            "telephone_number": "898-247-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEOHE SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "KAWAZOE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-247-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.