NPIMap

Organization Active NPI

Kyle S.Q. Chock, D.M.D., Inc.

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1275964868
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1145 Issued in HI
Legal business name
KYLE S.Q. CHOCK, D.M.D., INC.
Practice address
212 Ululani St
Hilo, HI 96720-2629
Phone
(808) 961-2878
Fax
(808) 933-1651
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Liana Lyn Boyce-Cabatu
Title
Office MGR
Phone
(808) 961-2878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1145 HI Primary

Addresses

Primary practice location

212 Ululani St
Hilo, HI 96720-2629

Mailing address

212 Ululani St
Hilo, HI 96720-2629
Phone (808) 961-2878

National Provider Directory

National Provider Directory

Locations

212 Ululani St
Hilo, HI 96720
Phone (808) 961-2878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1275964868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ULULANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202629",
            "telephone_number": "808-961-2878",
            "fax_number": "808-933-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ULULANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202629",
            "telephone_number": "808-961-2878",
            "fax_number": "808-933-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE S.Q. CHOCK, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "BOYCE-CABATU",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "808-961-2878"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.