NPIMap

Organization Active NPI

Michael Lutwin, DDS, LLC

  • Dentist
  • Kalaheo, HI
National Provider Identifier
1104246917
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2144 Issued in HI
Legal business name
MICHAEL LUTWIN, DDS, LLC
Practice address
2-2514 Kaumualii Hwy
Suite 204
Kalaheo, HI 96741-8303
Phone
(808) 332-9445
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Dr. Michael Dental Group Michael Lutwin, DDSNPI 1255484473
Title
Member
Phone
(808) 332-9445

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2144 HI Primary

Addresses

Primary practice location

2-2514 Kaumualii Hwy
Suite 204
Kalaheo, HI 96741-8303

Mailing address

2-2514 Kaumualii Hwy
Suite 204
Kalaheo, HI 96741-8303
Phone (808) 332-9445

Other names 1

  • Kalaheo Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2-2514 Kaumualii Hwy
Ste 204
Kalaheo, HI 96741
Phone (808) 332-9445

Practitioners & affiliated clinicians

Practitioners 4

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": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1104246917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY",
            "address_2": "SUITE 204",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418303",
            "telephone_number": "808-332-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY",
            "address_2": "SUITE 204",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418303",
            "telephone_number": "808-332-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LUTWIN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "LUTWIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENTAL GROUP MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-332-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalaheo Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.