Kahala Pediatrics, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD 10106 Issued in HI

Legal business name

KAHALA PEDIATRICS, LLC

Practice address

4747 Kilauea Ave
#202
Honolulu, HI 96816-5308

Phone

(808) 735-5541

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Scott Dezzani

Title

Manager

Phone

(808) 735-5541

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.

• Marni Lum Dezzani, MD

  • Pediatric Adolescent Medicine Physician
  • Honolulu, HI
  • NPI 1245655794
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457477010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 KANAKANUI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 KILAUEA AVE",
            "address_2": "#202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165308",
            "telephone_number": "808-735-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHALA PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEZZANI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-735-5541"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD 10106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahala Clinic LLC
• Kahala Dental Associates LLC
• Kahala Eye Clinic, LLC
• Kahala Mall Pediatric Clinic
• Kahala Modern Dentistry
• Kahala Senior Living Community Inc
• Kahala Smile Professionals, L.L.C.
• Kahala Urgent Care Inc.
• Brandon Kahalewai, RBT
• Ariana J Kahalioumi-Santos

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

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

Verify at the official NPI Registry.