Organization Active NPI

M. K. Dental Care LLC

  • Dental Clinic/Center
  • Honolulu, HI
National Provider Identifier
1306972476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
333 Issued in HI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8630-6OtherHIHMSA
333OtherHIHAWAII DENTAL SERVICE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.