Individual provider Active NPI

Kaitlyn Tom, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Honolulu, HI
National Provider Identifier
1366147803
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DT-2935 Issued in HI
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

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DT-2935HIMDOrthodontics 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.

Verify at the official NPI Registry.