The Tooth Surfer LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT2033 Issued in HI

Legal business name

THE TOOTH SURFER LLC

Doing business as

Diamond Head Dental Group

Practice address

3045 Monsarrat Ave
Suite 7
Honolulu, HI 96815-4400

Phone

(808) 375-2745

Fax

(808) 732-0240

NPI assigned

Mar 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Darren D.K. Wong, D.D.S.NPI 1356434385

Title

Member

Phone

(808) 375-2745

Specialties & licenses 1

Addresses

Other names 1

• Diamond Head Dental Group Doing business as

Tax ID family

Tooth Surfer LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tooth Surfer LLC

  • Dentist
  • Pearl City, HI
  • NPI 1316281421
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tooth Surfer LLC

  • Dentist
  • Pearl City, HI
  • NPI 1316281421
  NPPES parent name

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.

• Darren DK Wong, DDS

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1356434385
  NPD (past) Authorized official

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1578887030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 PUIWA ROAD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-375-2745",
            "fax_number": "925-743-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 MONSARRAT AVE",
            "address_2": "SUITE 7",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154400",
            "telephone_number": "808-375-2745",
            "fax_number": "808-732-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH SURFER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "D.K.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-375-2745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Head Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Queens Medical Center Dental Clinic
• The Salvation Army
• The Salvation Army
• The Surgical Suites LLC
• The Videosynergy Consortium
• The Wound Experts LLC
• The Wound Specialist
• The Wright Dentist, LLC (Kaimuki Center For Dentistry)
• Riley J Theobald

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.