Organization Active NPI

Scott Granger DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Aiea, HI
National Provider Identifier
1114885845
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SCOTT GRANGER DDS INC
Practice address
98-150 Kaonohi St Ste C214
Aiea, HI 96701-5022
Phone
(808) 861-6076
Fax
(808) 490-0408
NPI assigned
Jan 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Scott Kaulana Granger, DDSNPI 1295395200
Title
Owner
Phone
(808) 861-6076

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

98-150 Kaonohi St Ste C214
Aiea, HI 96701-5022

Mailing address

98-150 Kaonohi St Ste C214
Aiea, HI 96701-5022
Phone (808) 861-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260227000285 HI Part B Supplier - Clinic/Group Practice 2961983952 Receives reassigned benefits from 1 practitioner
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

98-150 Kaonohi St
Ste C214
Aiea, HI 96701
Phone (808) 488-0026

Practitioners & affiliated clinicians

Practitioners 1

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": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1114885845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-150 KAONOHI ST STE C214",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015022",
            "telephone_number": "808-861-6076",
            "fax_number": "808-490-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-150 KAONOHI ST STE C214",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015022",
            "telephone_number": "808-861-6076",
            "fax_number": "808-490-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT GRANGER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KAULANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-861-6076",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.