NPIMap

Organization Active NPI

Nalu Dental LLC

  • Dentist
  • Kaunakakai, HI
National Provider Identifier
1184097677
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT-2406 Issued in HI
Legal business name
NALU DENTAL LLC
Practice address
28 Kamoi St
Suite #200
Kaunakakai, HI 96748-0841
Phone
(808) 553-5118
Fax
(808) 553-3477
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Dr. Boki Chung, DDS
Title
Owner
Phone
(808) 658-0468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DT-2406 HI Primary

Addresses

Primary practice location

28 Kamoi St
Suite #200
Kaunakakai, HI 96748-0841

Mailing address

28 Kamoi St
Suite #200
Kaunakakai, HI 96748-0841
Phone (808) 553-5118

Other identifiers 1

IdentifierTypeStateIssuer
686264MedicaidHI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1184097677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KAMOI ST",
            "address_2": "SUITE #200",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967480841",
            "telephone_number": "808-553-5118",
            "fax_number": "808-553-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KAMOI ST",
            "address_2": "SUITE #200",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967480841",
            "telephone_number": "808-553-5118",
            "fax_number": "808-553-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALU DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "BOKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-658-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686264",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaunakakai, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.