Lauren N Bundschuh, D.D.S.
Individual provider Active NPI General Practice Dentistry · Hanapepe, HI
NPI 1497972178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497972178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1444 (HI)
- Practice address
- 3490 Hanapepe Rd.
Hanapepe, HI 96716-0527 - Phone
- (808) 335-5554
- Fax
- (808) 335-5591
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716000249 | HI | Order and Referring Only - Oral Surgery |
8325351653 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1444 | HI | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George a. Kanna DDS, Inc | General Practice | Past | Accepting new patients |
| West Kauai Dental LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1444 | HI | Yes |
Addresses
Primary practice location
3490 Hanapepe Rd.
Hanapepe, HI 96716-0527
Mailing address
PO Box 527
Hanapepe, HI 96716-0527
Phone (808) 335-5554
Other providers in Hanapepe, HI
- Brian a Carter Inc
- Brian a Carter Inc
- Celeste Indvik Brown
- Christina Uemura PSYD LLC
- Makana Duncan
- Alysha Delphine Enbom
- George a. Kanna DDS, Inc
- Glow Health and Wellness Center, LLC
All providers in Hanapepe, HI · General Practice Dentistry in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.