Individual provider Active NPI

Kanoe Baird

  • Pediatric Dentistry
  • Kapa'a, HI
National Provider Identifier
1396104592
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DT-2655 Issued in HI
Practice address
4-976 Kuhio Hwy
Kapaa, HI 96746-1572
Phone
(808) 651-8565
NPI assigned
Feb 16, 2016
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DT-2655 HI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4-976 Kuhio Hwy
Kapaa, HI 96746-1572

Mailing address

4-976 Kuhio Hwy
Kapaa, HI 96746-1572
Phone (808) 822-9393

Other identifiers 1

IdentifierTypeStateIssuer
82403802MedicaidHI

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-2655HIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Baird D.D.S. Inc Single Specialty PastSince Mar 29, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kanoe.baird.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 1

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1396104592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-976 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461572",
            "telephone_number": "808-822-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-976 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461572",
            "telephone_number": "808-651-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "KANOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT-2655",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82403802",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.