Ohana Dental of Kahala LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OHANA DENTAL OF KAHALA LLC

Practice address

4211 Waialae Ave Ste 500
Honolulu, HI 96816-5318

Phone

(808) 735-7777

NPI assigned

Sep 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Kim, DDSNPI 1134607500

Title

Owner Dentist

Phone

(808) 277-9026

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elliot Kim, DDS

  • Dentist
  • Honolulu, HI
  • NPI 1134607500
  NPD Authorized official

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1184451288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUAHI ST APT 3806",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165318",
            "telephone_number": "808-735-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA DENTAL OF KAHALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "808-277-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.