Active NPI
Lia Dominici-Bly, D.D.S.
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1114953494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT1722
- Practice address
- 6700 Kalanianaole Hwy
Suite 107
Honolulu, HI 96825-1277 - Phone
- (808) 396-6800
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT1722 | HI | Primary |
Addresses
Primary practice location
6700 Kalanianaole Hwy
Suite 107
Honolulu, HI 96825-1277
Mailing address
2732 E Manoa Rd
#A
Honolulu, HI 96822-1818
Phone (808) 729-6107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56419 | Other | CA | DENTAL LICENSE |
| DT 1722 | Other | HI | DENTAL LICENSE |
Other names 1
- Dr. Lia Bly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT1722 | HI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann M.Hashitate DDS Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1114953494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 E MANOA RD",
"address_2": "#A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221818",
"telephone_number": "808-729-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 KALANIANAOLE HWY",
"address_2": "SUITE 107",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251277",
"telephone_number": "808-396-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINICI-BLY",
"first_name": "LIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT1722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "56419",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DT 1722",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIA",
"last_name": "BLY",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.