Organization Active NPI

Kapalama Dental Clinic Inc.

  • Dental Clinic/Center
  • Honolulu, HI
National Provider Identifier
1538302674
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
137801 Issued in HI
Legal business name
KAPALAMA DENTAL CLINIC INC.
Practice address
675 N King St Ste 200
Honolulu, HI 96817-4526
Phone
(808) 845-8855
Fax
(808) 842-7739
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Dr. Rosemarie Mauricio-Molina, DMDNPI 1548275928
Title
President
Phone
(808) 845-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 137801 HI Primary

Addresses

Primary practice location

675 N King St Ste 200
Honolulu, HI 96817-4526

Mailing address

675 N King St Ste 200
Honolulu, HI 96817-4526
Phone (808) 845-8855

National Provider Directory

National Provider Directory

Locations

675 N King St
Ste 200
Honolulu, HI 96817
Phone (808) 845-8855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1538302674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N KING ST STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174526",
            "telephone_number": "808-845-8855",
            "fax_number": "808-842-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N KING ST STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174526",
            "telephone_number": "808-845-8855",
            "fax_number": "808-842-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPALAMA DENTAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MAURICIO-MOLINA",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-845-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "137801",
            "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 Apr 17, 2009; 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.