Brian S. Kubo, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DT-1795 Issued in HI

Legal business name

BRIAN S. KUBO, DDS, INC.

Practice address

64-5191 Kinohou St
Kamuela, HI 96743-8408

Phone

(808) 885-8465

Fax

(808) 885-8470

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Seigo Kubo, DDSNPI 1861533028

Title

President

Phone

(808) 885-8465

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Seigo Kubo, DDS

  • Dentist
  • Kamuela, HI
  • NPI 1861533028
  Authorized official Same address or phone

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1487837225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-5191 KINOHOU ST",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438408",
            "telephone_number": "808-885-8465",
            "fax_number": "808-885-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-5191 KINOHOU ST",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438408",
            "telephone_number": "808-885-8465",
            "fax_number": "808-885-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S. KUBO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "KUBO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SEIGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-885-8465",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janice Margaret Brencick, APRN-BC, PHD
• Brooks Dental LLC (Randall S Cislo DMD LLC)
• Amber Brose, LMT
• Elissa-Marie Elikapeka Kaahanui Brown, PHARMD
• Madelyn M. Bruno, MFT
• Kristin C Buehler, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.