Active NPI
Pualani Dental Corporation
- General Practice Dentistry
- Kailua, HI
National Provider Identifier
1104667906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PUALANI DENTAL CORPORATION
- Practice address
- 407 Uluniu St Ste 114
Kailua, HI 96734-2531 - Phone
- (808) 633-1207
- NPI assigned
- Jun 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert W Leonard, DDS
- Title
- President
- Phone
- (808) 633-1207
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
407 Uluniu St Ste 114
Kailua, HI 96734-2531
Mailing address
1391 Kapiolani Blvd Apt 1101
Honolulu, HI 96814-4584
Phone (808) 633-1207
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Hana, HI
- NPI 1215225750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1104667906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 KAPIOLANI BLVD APT 1101",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144584",
"telephone_number": "808-633-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 114",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342531",
"telephone_number": "808-633-1207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUALANI DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-633-1207",
"authorized_official_name_prefix": "Dr.",
"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 Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.