Eva Kiezik, D.M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DT-2722 Issued in HI

Practice address

1441 Kapiolani Blvd Ste 1720
Honolulu, HI 96814-4407

Phone

(808) 949-5665

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Craig a. Yamamoto, D.D.S., Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
  • NPI 1740613108
  NPD (past)
• Oral Surgery Hawaii LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Honolulu, HI
  • NPI 1336515592
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1457791717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1720",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-949-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1720",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-949-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEZIK",
        "first_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "30401",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "DT-2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontstaff@oralsurgeryhawaii.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Kapiolani Blvd Ste 1720",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kids Individual Development Services Hi LLC
• Kids Thrive Pediatrics, LLC
• Kidshine Honolulu LLC
• Eric S Kiechle, MD
• Elizabeth Kiefer, M.D.
• Keiko Kihara
• Kihs, LLC
• Brandon L. Kikuchi, D.C.
• Carol K Kikuchi, PT
• Christian K Kikuchi, MD

• Surgery Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.