NPIMap

Organization Active NPI

Oahu Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Kaneohe, HI
National Provider Identifier
1164948642
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DT2297 Issued in HI
Legal business name
OAHU ORAL AND MAXILLOFACIAL SURGERY
Practice address
45-1144 Kam Hwy Ste 301
Kaneohe, HI 96744-3226
Phone
(808) 230-8000
Fax
(808) 369-8292
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Dr. Jeremy Hannon, DMD
Title
Owner/Proprietor
Phone
(808) 230-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DT2297 HI Primary

Addresses

Primary practice location

45-1144 Kam Hwy Ste 301
Kaneohe, HI 96744-3226

Mailing address

45-1144 Kam Hwy Ste 301
Kaneohe, HI 96744-3226
Phone (808) 230-8000

Other names 1

  • Oahu Oral Surgry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oahu Oral and Maxillofacial Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1164948642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAM HWY STE 301",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-230-8000",
            "fax_number": "808-369-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAM HWY STE 301",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-230-8000",
            "fax_number": "808-369-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAHU ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-09-19",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/PROPRIETOR",
        "authorized_official_telephone_number": "808-230-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oahu Oral Surgry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.