Individual provider Active NPI

Ginelle A Sakima Roberts, D.D.S., M.S.

  • Pediatric Dentistry
  • Kealakekua, HI
National Provider Identifier
1205089745
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
CSDT 036 Issued in HI
Practice address
81-6627 Mamalahoa Hwy
Suite 106
Kealakekua, HI 96750-8180
Phone
(808) 322-8005
Fax
(808) 329-5057
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X CSDT 036 HI Primary

Addresses

Primary practice location

81-6627 Mamalahoa Hwy
Suite 106
Kealakekua, HI 96750-8180

Mailing address

75-5751 Kuakini Hwy
Suite 203
Kailua Kona, HI 96740-1752
Phone (808) 322-8005

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CSDT 036HIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. 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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1205089745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY",
            "address_2": "SUITE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401752",
            "telephone_number": "808-322-8005",
            "fax_number": "808-329-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6627 MAMALAHOA HWY",
            "address_2": "SUITE 106",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508180",
            "telephone_number": "808-322-8005",
            "fax_number": "808-329-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKIMA ROBERTS",
        "first_name": "GINELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "CSDT 036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.