Individual provider Active NPI

Karen Styan, RDH

  • Dental Hygienist
  • Kaneohe, HI
National Provider Identifier
1184970501
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH382 Issued in HI
Practice address
MCBH Building 3089 D Street
Kaneohe, HI 96863-3002
Phone
(808) 257-3100
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH382 HI Primary

Addresses

Primary practice location

MCBH Building 3089 D Street
Kaneohe, HI 96863-3002

Mailing address

PO Box 63037
21St Dental MCBH
Kaneohe Bay, HI 96863
Phone (808) 257-3100

Other identifiers 1

IdentifierTypeStateIssuer
H00632830OtherDRIVERS LICENSE HAWAII

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
DH382HIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1184970501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63037",
            "address_2": "21ST DENTAL MCBH",
            "city": "KANEOHE BAY",
            "state": "HI",
            "postal_code": "96863",
            "telephone_number": "808-257-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCBH BUILDING 3089 D STREET",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "968633002",
            "telephone_number": "808-257-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYAN",
        "first_name": "KAREN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "DH382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE HAWAII",
            "identifier": "H00632830",
            "state": null
        }
    ],
    "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 Aug 3, 2012; 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.