Active NPI
Kaitlyn Tom, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Honolulu, HI
National Provider Identifier
1366147803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DT-2935
- Practice address
- 1600 Kapiolani Blvd Ste 519
Honolulu, HI 96814-3805 - Phone
- (808) 941-5241
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- 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 | DT-2935 | HI | Primary |
Addresses
Primary practice location
1600 Kapiolani Blvd Ste 519
Honolulu, HI 96814-3805
Mailing address
1822 Kumakani PL
Honolulu, HI 96821-1328
Other practice location 1
98-150 Kaonohi St Ste C214
Aiea, HI 96701-5022
Phone (808) 488-0026
Other practice location 2
95-1249 Meheula Pkwy Ste 135
Mililani, HI 96789-1788
Phone (808) 625-5000
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 |
|---|---|---|---|
| DT-2935 | HI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1366147803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 KUMAKANI PL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 KAPIOLANI BLVD STE 519",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143805",
"telephone_number": "808-941-5241"
}
],
"practiceLocations": [
{
"address_1": "98-150 Kaonohi St Ste C214",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967015022",
"country_code": "US",
"telephone_number": "808-488-0026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "95-1249 Meheula Pkwy Ste 135",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967891788",
"country_code": "US",
"telephone_number": "808-625-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOM",
"first_name": "KAITLYN",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "HI",
"license": "DT-2935",
"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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.