Active NPI
Ginelle A Sakima Roberts, D.D.S., M.S.
- Pediatric Dentistry
- Kealakekua, HI
National Provider Identifier
1205089745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- CSDT 036
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSDT 036 | HI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Kailua-Kona, HI
- NPI 1952335630
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.