Individual provider Active NPI

Hilari Kawakami Wong, DDS

  • General Practice Dentistry
  • Kaneohe, HI
National Provider Identifier
1174872766
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT2586 Issued in HI
Practice address
45-1144 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3226
Phone
(808) 247-4114
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61813 CA
General Practice Dentistry 1223G0001X DT2586 HI Primary

Addresses

Primary practice location

45-1144 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3226

Mailing address

45-1144 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3226
Phone (808) 247-4114

Other practice location 1

3967 Rivermark Plz
Santa Clara, CA 95054-4156
Phone (415) 935-1153

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

LicenseStateTypeSpecialty
DT2586HIMDGeneral Practice Dentistry
61813CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Windward Dental Group 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174872766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY STE 401",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-247-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY STE 401",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-247-4114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3967 Rivermark Plz",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950544156",
            "country_code": "US",
            "telephone_number": "415-935-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAKAMI WONG",
        "first_name": "HILARI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61813",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2018; 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.