West Oahu Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT2258 Issued in HI

Legal business name

WEST OAHU DENTAL CENTER LLC

Practice address

1001 Kamokila Blvd
Suite 157
Kapolei, HI 96707-2014

Phone

(808) 692-8888

Fax

(808) 692-8884

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Genara Dabu Alcantra, DMDNPI 1598896987

Title

Dentist

Phone

(808) 692-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Genara Dabu Alcantra, DMD

  • General Practice Dentistry
  • Kapolei, HI
  • NPI 1598896987
  NPD (past) Authorized official

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1285934554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 157",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-692-8888",
            "fax_number": "808-692-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 157",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-692-8888",
            "fax_number": "808-692-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OAHU DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "ALCANTRA",
        "authorized_official_first_name": "GENARA",
        "authorized_official_middle_name": "DABU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-692-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58619102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reva Welch
• Wellcare Health Insurance of Arizona, Inc.
• Wendi N Harada OD Inc
• West Coast Counseling Services
• West Coast Counseling Services LLC
• William A Whalley, OD
• Shyna Ceilene White
• Leilani Wilhelm, LMT
• Katelyn Wilhoit
• Bethany Rain Wilkens

• General Practice Dentistry in Kapolei, HI
• Providers in Kapolei, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.