Active NPI
Dental Arts LLC
- General Practice Dentistry
- Mililani, HI
National Provider Identifier
1164280756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL ARTS LLC
- Practice address
- 95-1099 Ainamakua Dr Ste 1
Mililani, HI 96789-4298 - Phone
- (808) 625-6300
- Fax
- (808) 623-6810
- NPI assigned
- Mar 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Baysa, DDS
- Title
- Owner/Member
- Phone
- (808) 625-6300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
95-1099 Ainamakua Dr Ste 1
Mililani, HI 96789-4298
Mailing address
95-1099 Ainamakua Dr Ste 1
Mililani, HI 96789-4298
Phone (808) 625-6300
Other names 1
- DENTAL ARTS HAWAII
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240406000281 | HI | DME Supplier - Oral Surgery - Dentist | 5890133060 | Practice locations: Mililani, HI |
National Provider Directory
National Provider DirectoryLocations
95-1099 Ainamakua Dr
Ste 1
Mililani, HI 96789
Phone (808) 625-6300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mililani, HI
- NPI 1760466445
-
- General Practice Dentistry
- Mililani, HI
- NPI 1396493599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1164280756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1099 AINAMAKUA DR STE 1",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894298",
"telephone_number": "808-625-6300",
"fax_number": "808-623-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-1099 AINAMAKUA DR STE 1",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894298",
"telephone_number": "808-625-6300",
"fax_number": "808-623-6810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL ARTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "BAYSA",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "808-625-6300",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DENTAL ARTS HAWAII",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.