Kailua Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KAILUA FAMILY DENTAL LLC

Doing business as

Mino'aka Dental of Kailua

Practice address

407 Uluniu St Ste 114
Kailua, HI 96734-2531

Phone

(808) 261-5951

NPI assigned

Sep 16, 2024

Last updated

Dec 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leon Ajayi Johnson, DDSNPI 1518343177

Title

Owner/Dentist

Phone

(650) 302-7086

Specialties & licenses 1

Addresses

Other names 1

• Mino'aka Dental of Kailua Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leon Ajayi Johnson, D.D.S.

  • General Practice Dentistry
  • Kailua, HI
  • NPI 1518343177

  Dental

  NPD Authorized official
• Pat Hiroshi Miyamura, DDS

  • General Practice Dentistry
  • Kailua, HI
  • NPI 1669670493
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1316774177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 MANU ALOHA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344375",
            "telephone_number": "650-302-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 114",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342531",
            "telephone_number": "808-261-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILUA FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "AJAYI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "650-302-7086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mino'aka Dental of Kailua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kailua Counseling Services
• Kailua Dermatology Associates LTD
• Kailua Dermatology Centers of Hawaii, LLC
• Kailua Ear, Nose and Throat LLC
• Kailua Early Intervention Program
• Kailua Family Pharmacy LLC (ElixRx)
• Kailua Integrative Medicine LLC
• Kailua Pediatrics LLC
• Kailua Physical Therapy Clinic, Inc
• Kailua Physical Therapy Clinic, Inc

• Dental Clinic/Center in Kailua, HI
• Providers in Kailua, HI by specialty
• Dental Clinic/Center in Hawaii

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