NPIMap

Organization Active NPI

Kihei Dentists LLC

Doing business as Hawaii Dental Clinic Kihei

  • Dentist
  • Kihei, HI
National Provider Identifier
1215409263
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KIHEI DENTISTS LLC
Doing business as
Hawaii Dental Clinic Kihei
Practice address
300 Ohukai Rd Ste B301
Kihei, HI 96753-8994
Phone
(808) 538-6522
NPI assigned
Dec 31, 2018
Last updated
Dec 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Dr. Lisa Wong, DMDNPI 1063834281
Title
Manager
Phone
(808) 538-6522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

300 Ohukai Rd Ste B301
Kihei, HI 96753-8994

Mailing address

Attn: Hawaii Dental
1050 Queen Street Ste 100
Honolulu, HI 96814
Phone (808) 308-9720

Other names 1

  • Hawaii Dental Clinic Kihei Doing business as

National Provider Directory

National Provider Directory

Locations

300 Ohukai Rd
Ste B301
Kihei, HI 96753
Phone (808) 538-6522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1215409263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: HAWAII DENTAL",
            "address_2": "1050 QUEEN STREET STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-308-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OHUKAI RD STE B301",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538994",
            "telephone_number": "808-538-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIHEI DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Clinic Kihei",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.