Active NPI
Gerald Wai Hong Kim, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Honolulu, HI
National Provider Identifier
1316066681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1956
- Practice address
- 1441 Kapiolani Blvd
Suite 1515
Honolulu, HI 96814 - Phone
- (808) 941-9888
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1956 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd
Suite 1515
Honolulu, HI 96814
Mailing address
1441 Kapiolani Blvd
Suite 1515
Honolulu, HI 96814
Phone (808) 941-9888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1956 | HI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Mary W M Kim DDS Ms a Professional Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Honolulu, HI
- NPI 1073798302
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Honolulu, HI
- NPI 1497874606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316066681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"address_2": "SUITE 1515",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-941-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"address_2": "SUITE 1515",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-941-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GERALD",
"middle_name": "WAI HONG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "HI",
"license": "1956",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.