NPIMap

Organization Active NPI

Hawaii Dental Clinic LLC

  • Dentist
  • Honolulu, HI
National Provider Identifier
1295100501
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2521 Issued in HI
Legal business name
HAWAII DENTAL CLINIC LLC
Practice address
7192 Kalanianaole Hwy
Q-103
Honolulu, HI 96825-1800
Phone
(808) 538-6522
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Lisa WH Wong
Title
DMD
Phone
(808) 538-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2521 HI Primary

Addresses

Primary practice location

7192 Kalanianaole Hwy
Q-103
Honolulu, HI 96825-1800

Mailing address

50 S Beretania St Ste C117B
Honolulu, HI 96813-2287
Phone (808) 538-6522

Other names 1

  • Hawaii Dental Clinic Koko Marina Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hawaii Dental Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7192 Kalanianaole Hwy
Ste Q103
Honolulu, HI 96825
Phone (808) 396-0303

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1295100501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C117B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132287",
            "telephone_number": "808-538-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY",
            "address_2": "Q-103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-538-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WH",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Clinic Koko Marina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.