Active NPI
Kanoe Baird
- Pediatric Dentistry
- Kapa'a, HI
National Provider Identifier
1396104592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DT-2655
- Practice address
- 4-976 Kuhio Hwy
Kapaa, HI 96746-1572 - Phone
- (808) 651-8565
- NPI assigned
- Feb 16, 2016
- Last updated
- Aug 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82403802 | Medicaid | HI |
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-2655 | HI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark a. Baird D.D.S. Inc | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- 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.