Aa Windward Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AA WINDWARD DENTAL GROUP

Practice address

45-1144 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3226

Phone

(808) 247-4118

Fax

(808) 247-5115

NPI assigned

Jun 22, 2017

Last updated

Jun 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thad Kawakami-Wong, DDS

Title

Owner Dentist

Phone

(808) 247-4118

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hilari Kawakami Wong, DDS

  • General Practice Dentistry
  • Kaneohe, HI
  • NPI 1174872766
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1427578103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAM HWY STE 401",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-247-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY STE 401",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-247-4118",
            "fax_number": "808-247-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA WINDWARD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "KAWAKAMI-WONG",
        "authorized_official_first_name": "THAD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "808-247-4118",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.