NPIMap

Organization Active NPI

Hafa Adai Family Dental PC

  • Pediatric Dentistry
  • Tamuning, GU
National Provider Identifier
1104987106
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D988 Issued in GU
Legal business name
HAFA ADAI FAMILY DENTAL PC
Practice address
590 S Marine Corps Dr
Suite 104 Itc BLDG
Tamuning, GU 96913
Phone
(671) 649-7851
Fax
(671) 649-7853
NPI assigned
Dec 13, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. David Kazuto Marutani, DMDNPI 1033371885
Title
Owner VP
Phone
(671) 649-7851

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D994 GU
General Practice Dentistry 1223G0001X D995 GU
Pediatric Dentistry 1223P0221X D988 GU Primary

Addresses

Primary practice location

590 S Marine Corps Dr
Suite 104 Itc BLDG
Tamuning, GU 96913

Mailing address

PO Box 8230
Tamuning, GU 96931
Phone (671) 649-7851

National Provider Directory

National Provider Directory

Locations

590 S Marine Corps Dr
Ste 104
Tamuning, GU 96913
Phone (671) 649-7851

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104987106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8230",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96931",
            "telephone_number": "671-649-7851",
            "fax_number": "671-649-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S MARINE CORPS DR",
            "address_2": "SUITE 104 ITC BLDG",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-7851",
            "fax_number": "671-649-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFA ADAI FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARUTANI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KAZUTO",
        "authorized_official_title_or_position": "OWNER VP",
        "authorized_official_telephone_number": "671-649-7851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GU",
            "license": "D994",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GU",
            "license": "D995",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GU",
            "license": "D988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.