NPIMap

Organization Active NPI

Kapolei Family Dental Corporation

  • Dentist
  • Kapolei, HI
National Provider Identifier
1114155413
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT-1703 Issued in HI
Legal business name
KAPOLEI FAMILY DENTAL CORPORATION
Practice address
1001 Kamokila Blvd
# 109 Kapolei BLDG
Kapolei, HI 96707-2014
Phone
(808) 674-8000
Fax
(808) 674-8607
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Richard Wen-Jou Liu, D.D.S.NPI 1932271194
Title
Dentist/Owner
Phone
(808) 674-8000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT-1850 HI
Dentist 122300000X DT-1703 HI Primary

Addresses

Primary practice location

1001 Kamokila Blvd
# 109 Kapolei BLDG
Kapolei, HI 96707-2014

Mailing address

1001 Kamokila Blvd
# 109 Kapolei BLDG
Kapolei, HI 96707-2014
Phone (808) 674-8000

National Provider Directory

National Provider Directory

Locations

1001 Kamokila Blvd
Ste 109
Kapolei, HI 96707
Phone (808) 674-8000

Practitioners & affiliated clinicians

Practitioners 2

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": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1114155413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "# 109 KAPOLEI BLDG",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-8000",
            "fax_number": "808-674-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "# 109 KAPOLEI BLDG",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-8000",
            "fax_number": "808-674-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPOLEI FAMILY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WEN-JOU",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "808-674-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1850",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.