Ohana Dental of Waipahu LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OHANA DENTAL OF WAIPAHU LLC

Practice address

94-050 Farrington Hwy Ste E1-2
Waipahu, HI 96797-1842

Phone

(808) 677-2451

NPI assigned

Sep 14, 2024

Last updated

Sep 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Kim, DDSNPI 1134607500

Title

Owner Dentist

Phone

(808) 277-9026

Specialties & licenses 1

Addresses

Locations

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.

• Elliot Kim, DDS

  • Dentist
  • Honolulu, HI
  • NPI 1134607500
  NPD Authorized official
• Cory Lawrence Crouse, DMD

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1891216461
  NPD (past)
• Edward K Higa, DDS

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1225048846
  NPD (past)

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1154158251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUAHI ST APT 3806",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-050 FARRINGTON HWY STE E1-2",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971842",
            "telephone_number": "808-677-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA DENTAL OF WAIPAHU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "808-277-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessie Obaldo
• Ashley Ody, BCBA, LBA
• Tiare-Lynn Kanoelani Kikue Ogata
• Amy A Ogawa, DMD
• David K Oh, PHARM. D.
• Ohana Hale Arch/Expanded Arch, LLC
• Ohana Homecare Plus Corp
• Ohana Support Services LLC
• David T Ohara, D.D.S.
• Ruth Ohashi, PHARM.D.

• Dental Clinic/Center in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.