Individual provider Active NPI

David K. Hiranaka, M.D., D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Kailua Kona, HI
National Provider Identifier
1437198199
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
MD-8788 Issued in HI
Practice address
76-6225 Kuakini Hwy
Suite A102
Kailua Kona, HI 96740-3211
Phone
(808) 326-2040
Fax
(808) 326-7273
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DT-2180 HI
Oral and Maxillofacial Surgery (Dentist) 1223S0112X MD-8788 HI Primary

Addresses

Primary practice location

76-6225 Kuakini Hwy
Suite A102
Kailua Kona, HI 96740-3211

Mailing address

76-6225 Kuakini Hwy
Suite A102
Kailua Kona, HI 96740-3211
Phone (808) 326-2040

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000965 HI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0941235717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Harvard Medical School, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

76-6225 Kuakini Hwy
A102
Kailua Kona, HI 96740-3212
Phone (808) 326-2040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-8788HIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
David K Hiranaka MD DMD Inc Oral and Maxillofacial Surgery CurrentSince Sep 29, 2005 Accepting new patients
Kona Hospital PastSince Apr 1, 2020 Accepting new patients

Locations

76-6225 Kuakini Hwy
Ste A102
Kailua Kona, HI 96740
Phone (808) 326-2040

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kona HospitalKealakekua, HI, CCN 120019 Hospital Corporate Director Apr 1, 2020
Kona HospitalKealakekua, HI, CCN 12S019 Hospital Corporate Director Apr 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1437198199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "SUITE A102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-326-2040",
            "fax_number": "808-326-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "SUITE A102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-326-2040",
            "fax_number": "808-326-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRANAKA",
        "first_name": "DAVID",
        "middle_name": "K.",
        "credential": "M.D., D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-2180",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "MD-8788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.