Organization Active NPI

Sweet Tooth Dental Inc.

  • Preferred Provider Organization
  • Kailua Kona, HI
National Provider Identifier
1285865170
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1987-01 Issued in HI
Legal business name
SWEET TOOTH DENTAL INC.
Practice address
75-5660 Kopiko St Ste B2
Kailua Kona, HI 96740-3121
Phone
(808) 329-0889
Fax
(808) 329-5062
NPI assigned
Jul 27, 2009
Organization subpart
Yes
Parent organization
SWEET TOOTH DENTAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Dr. Garrett B.K. Oka, DDSNPI 1568672756
Title
Dentist/Owner
Phone
(808) 329-0889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1987-01 HI Primary

Addresses

Primary practice location

75-5660 Kopiko St Ste B2
Kailua Kona, HI 96740-3121

Mailing address

75-5660 Kopiko St Ste B2
Kailua Kona, HI 96740-3121
Phone (808) 329-0889

National Provider Directory

National Provider Directory
Part of
Sweet Tooth Dental Inc

Locations

75-5660 Kopiko St
Ste B2
Kailua Kona, HI 96740
Phone (808) 329-0889

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": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1285865170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST STE B2",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403121",
            "telephone_number": "808-329-0889",
            "fax_number": "808-329-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST STE B2",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403121",
            "telephone_number": "808-329-0889",
            "fax_number": "808-329-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH DENTAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWEET TOOTH DENTAL INC.",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "OKA",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "B.K.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "808-329-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "HI",
            "license": "1987-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.