Organization Active NPI

Kyle K Leong DDS LLC

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1336375203
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2157 Issued in HI
Legal business name
KYLE K LEONG DDS LLC
Practice address
2885 Paa St Ste 203
Honolulu, HI 96819-4432
Phone
(808) 839-7795
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Dr. Kyle Leong
Title
Dentist
Phone
(808) 839-7795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2157 HI Primary

Addresses

Primary practice location

2885 Paa St Ste 203
Honolulu, HI 96819-4432

Mailing address

2885 Paa St Ste 203
Honolulu, HI 96819-4432
Phone (808) 839-7795

Other identifiers 2

IdentifierTypeStateIssuer
1922169499OtherHMSA
2157OtherHDS

National Provider Directory

National Provider Directory

Locations

2885 Paa St
Ste 203
Honolulu, HI 96819
Phone (808) 839-7795

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1336375203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 PAA ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194432",
            "telephone_number": "808-839-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 PAA ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194432",
            "telephone_number": "808-839-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE K LEONG DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-839-7795",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "1922169499",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "2157",
            "state": null
        }
    ],
    "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 Jun 5, 2009; 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.