NPIMap

Organization Active NPI

Kyriakakis Dental Inc

  • Dentist
  • Honolulu, HI
National Provider Identifier
1447550728
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2070 Issued in HI
Legal business name
KYRIAKAKIS DENTAL INC
Practice address
1953 S Beretania St
Suite 3a
Honolulu, HI 96826-1300
Phone
(808) 791-0200
Fax
(808) 791-0201
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Nicholas Kyriakakis, DMDNPI 1720209166
Title
Vice President
Phone
(808) 791-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2025 HI
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2070 HI Primary

Addresses

Primary practice location

1953 S Beretania St
Suite 3a
Honolulu, HI 96826-1300

Mailing address

1953 S Beretania St
Suite 3a
Honolulu, HI 96826-1300
Phone (808) 791-0200

Other identifiers 2

IdentifierTypeStateIssuer
540056-03MedicaidHI
545460-02MedicaidHI

National Provider Directory

National Provider Directory

Locations

1953 S Beretania St
Ste 3A
Honolulu, HI 96826
Phone (808) 791-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1447550728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 S BERETANIA ST",
            "address_2": "SUITE 3A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261300",
            "telephone_number": "808-791-0200",
            "fax_number": "808-791-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 S BERETANIA ST",
            "address_2": "SUITE 3A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261300",
            "telephone_number": "808-791-0200",
            "fax_number": "808-791-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYRIAKAKIS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "KYRIAKAKIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-791-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2025",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540056-03",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545460-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.