Active NPI
Patrick Kaoru Haines, DDS, MS
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1457074908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT-3024-0
- Practice address
- 1003 Bishop St Ste 300
Honolulu, HI 96813-6406 - Phone
- (808) 521-2252
- NPI assigned
- Sep 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT-3024-0 | HI | Primary |
Addresses
Primary practice location
1003 Bishop St Ste 300
Honolulu, HI 96813-6406
Mailing address
1003 Bishop St Ste 300
Honolulu, HI 96813-6406
Phone (808) 521-2252
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-3024-0 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1457074908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 BISHOP ST STE 300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968136406",
"telephone_number": "808-521-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 BISHOP ST STE 300",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968136406",
"telephone_number": "808-521-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "PATRICK",
"middle_name": "KAORU",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-3024-0",
"primary": true
}
],
"identifiers": [],
"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 Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.