Wailuku Dentists LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2545 Issued in HI

Legal business name

WAILUKU DENTISTS LLC

Practice address

1885 Main St
Suite 208
Wailuku, HI 96793

Phone

(808) 242-4774

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Nolan Kido

Title

Duly Authorized Agent

Phone

(808) 242-4774

Specialties & licenses 2

Addresses

Other names 1

• Hawaii Dental Wailuku Doing business as

Locations

Practitioners 1

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

• Eugene Yukito Yamaguma, D.D.S., M.S.D.

  • Prosthodontics
  • Wailuku, HI
  • NPI 1952301509
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1457737272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SOUTH BERETANIA ST",
            "address_2": "C-117B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-242-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "SUITE 208",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-242-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAILUKU DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "KIDO",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_title_or_position": "DULY AUTHORIZED AGENT",
        "authorized_official_telephone_number": "808-242-4774"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2545",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "1030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Wailuku",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer B Villa, M.D.
• Eduardo G. Villasenor, MD
• Jhasmine Jedah Amo Viloria, RBT
• Julia Kahalelaukoa II H Wadsworth, FNP
• Wailuku Dental Group Inc
• Wailuku Internal Medicine Clinic LLC
• Jody-Lee Waiohu, AA
• Walgreen Co
• Walgreen Co.
• Walgreen Co.

• Dentist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.