Kelly Diane Davis

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH-2142 Issued in HI

Practice address

970 N Kalaheo Ave Ste A101
Kailua, HI 96734-1868

Phone

(808) 254-2339

NPI assigned

May 25, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Aikahi Smile Designs Inc

  • General Practice Dentistry
  • Kailua, HI
  • NPI 1841428471
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1518532134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HAMAKUA PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343924",
            "telephone_number": "856-419-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE A101",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341868",
            "telephone_number": "808-254-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLY",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "HI-01081900",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "DH-2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hatch
• David L. Raffle, PHD, Inc., a Psychological Corporation
• David M Huntley MD Inc
• Davids Care LLC
• Katherine Elizabeth Davis
• Oakley M. Davis, M.D.
• Rachel Davis
• Charlotte Day
• Starr Alexzandria De Leon
• Raymond Charles Dean, OD

• Dental Hygienist in Kailua, HI
• Providers in Kailua, HI by specialty
• Dental Hygienist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.