Elliot R Willis-Orlando, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-3183 Issued in HI

Practice address

4643 B Waimea Canyon Road
Waimea, HI 96796

Phone

(808) 240-0150

Fax

(808) 338-9646

NPI assigned

Feb 22, 2024

Last updated

Aug 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elliot R Willis Professional name

Medicare fee-for-service enrollment

Enrolled in HI, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dentist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Waimea, HI
  • NPI 1245269976
  Medicare reassignment NPD
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1730136367
  Medicare reassignment NPD
• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Kapa'a, HI
  • NPI 1891098513
  NPD
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1023830346
  NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1164288684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 B WAIMEA CANYON ROAD",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-240-0150",
            "fax_number": "808-338-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 B WAIMEA CANYON ROAD",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-240-0150",
            "fax_number": "808-338-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS-ORLANDO",
        "first_name": "ELLIOT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-3183",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61629885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIOT",
            "last_name": "WILLIS",
            "middle_name": "R",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mariano Torres, M.D.
• Beverly Esplana Tumbaga, APRN
• Waimea Emergency Services LLC
• West Hawaii Imaging Services, Inc
• Narreinar Pawsheun Williams, M.D.
• Jeffrey C.M. Wong, D.O.

• General Practice Dentistry in Waimea, HI
• Providers in Waimea, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.