Individual provider Active NPI

Don Briant Sand

  • Dentist
  • Kahuku, HI
National Provider Identifier
1386030112
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CSDT-84 Issued in HI
Practice address
56-490 Kamehameha Hwy
Kahuku, HI 96731-2200
Phone
(808) 636-1789
Fax
(808) 293-5390
NPI assigned
Apr 8, 2015
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CSDT-84 HI Primary
Dentist 122300000X 35334 CA

Addresses

Primary practice location

56-490 Kamehameha Hwy
Kahuku, HI 96731-2200

Mailing address

PO Box 395
Kahuku, HI 96731-0395
Phone (808) 293-9231

Other practice location 1

10 Mohala Street, #5
Kaunakakai, HI 96748-2040
Phone (808) 553-4511

Other practice location 2

30 Oki Place
Kaunakakai, HI 96748-2040
Phone (808) 553-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002608 HI Practitioner - Dentist 1658686605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSDT-84HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai Ohana Health Care, Inc. CurrentSince Nov 15, 2024 Accepting new patients
Ko Olauloa Health Center Past Accepting new patients
Ko Olauloa Health Center Past Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients
Ko Olauloa Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: don.sand.1@23954.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1386030112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967310395",
            "telephone_number": "808-293-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-490 KAMEHAMEHA HWY",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312200",
            "telephone_number": "808-636-1789",
            "fax_number": "808-293-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Mohala Street, #5",
            "address_purpose": "LOCATION",
            "city": "Kaunakakai",
            "state": "HI",
            "postal_code": "967482040",
            "country_code": "US",
            "telephone_number": "808-553-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Oki Place",
            "address_purpose": "LOCATION",
            "city": "Kaunakakai",
            "state": "HI",
            "postal_code": "967482040",
            "country_code": "US",
            "telephone_number": "808-553-4511",
            "fax_number": "808-553-3591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAND",
        "first_name": "DON",
        "middle_name": "BRIANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "CSDT-84",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahuku, HI

Sources for this page

Verify at the official NPI Registry.