Individual provider Active NPI

Hwa Pen Hans Hsu, DDS

  • Pediatric Dentistry
  • Lihue, HI
National Provider Identifier
1295076206
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DT-3048 Issued in HI
Practice address
3-3359 Kuhio Hwy
Lihue, HI 96766-1061
Phone
(808) 378-4869
NPI assigned
Mar 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DT-3048 HI Primary

Addresses

Primary practice location

3-3359 Kuhio Hwy
Lihue, HI 96766-1061

Mailing address

1045 Kamehame Dr
Honolulu, HI 96825-2860

Other practice location 1

3150 Monsarrat Ave Ste 201
Honolulu, HI 96815-4488
Phone (808) 735-5437

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
DT-3048HIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Toothbuds Kauai, LLC Dentist CurrentSince Dec 8, 2024 Accepting new patients
WLL Ohana LLC CurrentSince Dec 8, 2024 Accepting new patients
Kuhio Pediatric Dental LLC PastSince Dec 8, 2024 Accepting new patients
Jason Nudelman, DDS PC Pediatric Dentistry PastSince Aug 15, 2021 Accepting new patients

Locations

3150 Monsarrat Ave
Ste 201
Honolulu, HI 96815
Phone (808) 735-5437

6700 Kalanianaole Hwy
Ste 216A
Honolulu, HI 96825
Phone (804) 300-0948

3-3359 Kuhio Hwy
Lihue, HI 96766
Phone (808) 378-4869

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1295076206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 KAMEHAME DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3359 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661061",
            "telephone_number": "808-378-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Monsarrat Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968154488",
            "country_code": "US",
            "telephone_number": "808-735-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "HWA PEN HANS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT-3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.