Kealakekua Dental, L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KEALAKEKUA DENTAL, L.L.C.

Practice address

79-7592 Mamalahoa Highway
Kealakekua, HI 96750

Phone

(808) 322-9357

Fax

(808) 322-0921

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

John P. Bunnell, D.D.S,

Title

Member

Phone

(808) 322-9357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1538824701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-7592 MAMALAHOA HIGHWAY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-322-9357",
            "fax_number": "808-322-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7592 MAMALAHOA HIGHWAY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-322-9357",
            "fax_number": "808-322-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALAKEKUA DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "BUNNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-322-9357",
        "authorized_official_credential": "D.D.S,"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.