Individual provider Active NPI

Andrew Chong, DDS

  • Endodontics
  • Kailua, HI
National Provider Identifier
1265147326
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1223G0200X Issued in HI
Practice address
30 Aulike St Ste 404
Kailua, HI 96734-2751
Phone
(808) 235-3131
NPI assigned
Jan 23, 2023
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 1223G0200X HI Primary

Addresses

Primary practice location

30 Aulike St Ste 404
Kailua, HI 96734-2751

Mailing address

1561 Kanunu St Apt 1404
Honolulu, HI 96814-3209
Phone (808) 500-3330

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
1223G0200XHIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Endodontics LLC Endodontics CurrentSince Jul 13, 2025 Accepting new patients

Locations

30 Aulike St
Ste 404
Kailua, HI 96734
Phone (808) 235-3131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1265147326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 KANUNU ST APT 1404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143209",
            "telephone_number": "808-500-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342751",
            "telephone_number": "808-235-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "HI",
            "license": "1223G0200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.