Jason Kaopua, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DT2042 Issued in HI

Practice address

16-192 Pili Mua St
Keaau Family Health Center
Keaau, HI 96749

Phone

(808) 930-0400

Fax

(808) 934-3238

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1356304000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 KALANIANAOLE AVE",
            "address_2": "BAY CLINIC INC",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-930-0419",
            "fax_number": "808-961-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-192 PILI MUA ST",
            "address_2": "KEAAU FAMILY HEALTH CENTER",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-930-0400",
            "fax_number": "808-934-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOPUA",
        "first_name": "JASON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "824916",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "D217358",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252240",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ka Wai Ola Medical Clinic LLC
• Adelina Ka-Ipo I, BACHELORS
• Janel Kai, L.M.T.
• Richelle Kaku
• Herbert Kamada
• Kau Hospital
• Donnelle Kalani Kawaauhau
• Keaau Physical Therapy Inc.
• Christine Shizue Keanu, LCSW
• Kahealani Keliihoomalu

• Dentist in Keaau, HI
• Providers in Keaau, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.