Candace M. Wada, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1922 Issued in HI

Practice address

4211 Waialae Ave
Suite 309
Honolulu, HI 96816-5306

Phone

(808) 732-9232

Fax

(808) 739-2132

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kahala Smile Professionals, L.L.C.

  • Dentist
  • Honolulu, HI
  • NPI 1194125484
  NPD (past) Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104830454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "SUITE 309",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165306",
            "telephone_number": "808-732-9232",
            "fax_number": "808-739-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "SUITE 309",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165306",
            "telephone_number": "808-732-9232",
            "fax_number": "808-739-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADA",
        "first_name": "CANDACE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1922",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Wachi
• Carly Akemi Wachi, M.D.
• Dennis Hiroshi Wachi, M.D.
• Julie K. Wachtel, DO
• Liza Malia Wacker, PSY.D.
• Margaret K Wada, CCC SLP
• Nichele Wada, DDS
• Randal K. Wada, M.D.
• Robert Wada, D.D.S.
• Joshua Peter Waddell, PTA

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.