NPIMap

Organization Active NPI

Hawaii Dental Clinic Kahala Harada LLC

  • Dentist
  • Honolulu, HI
National Provider Identifier
1497151849
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT2521 Issued in HI
Legal business name
HAWAII DENTAL CLINIC KAHALA HARADA LLC
Practice address
4211 Waialae Ave # G22
Honolulu, HI 96816-5319
Phone
(808) 735-7777
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Lisa WH WongNPI 1063834281
Title
Member
Phone
(808) 538-6522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT2521 HI Primary

Addresses

Primary practice location

4211 Waialae Ave # G22
Honolulu, HI 96816-5319

Mailing address

50 S Beretania St
C-117B
Honolulu, HI 96813-2208
Phone (808) 538-6522

National Provider Directory

National Provider Directory

Locations

4211 Waialae Ave
#G22
Honolulu, HI 96816
Phone (808) 735-7777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1497151849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST",
            "address_2": "C-117B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132208",
            "telephone_number": "808-538-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE # G22",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165319",
            "telephone_number": "808-735-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII DENTAL CLINIC KAHALA HARADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2521",
            "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 Nov 12, 2014; 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.