Active NPI
M. K. Dental Care LLC
- Dental Clinic/Center
- Honolulu, HI
National Provider Identifier
1306972476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 333
- Legal business name
- M. K. DENTAL CARE LLC
- Practice address
- 1773 S King St
Suite 201
Honolulu, HI 96826-2183 - Phone
- (808) 941-1464
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel C. W. Kau, D.D.S.
- Title
- Member-Manager
- Phone
- (808) 941-1464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 333 | HI | Primary |
Addresses
Primary practice location
1773 S King St
Suite 201
Honolulu, HI 96826-2183
Mailing address
1773 S King St
Suite 201
Honolulu, HI 96826-2183
Phone (808) 941-1464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8630-6 | Other | HI | HMSA |
| 333 | Other | HI | HAWAII DENTAL SERVICE |
National Provider Directory
National Provider DirectoryLocations
1773 S King St
Ste 201
Honolulu, HI 96826
Phone (808) 941-1464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306972476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 S KING ST",
"address_2": "SUITE 201",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968262183",
"telephone_number": "808-941-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 S KING ST",
"address_2": "SUITE 201",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968262183",
"telephone_number": "808-941-1464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. K. DENTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAU",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "C. W.",
"authorized_official_title_or_position": "MEMBER-MANAGER",
"authorized_official_telephone_number": "808-941-1464",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "HI",
"license": "333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "8630-6",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII DENTAL SERVICE",
"identifier": "333",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.