Kelly Kawahara, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2141 Issued in HI

Practice address

54 Maui Lani Pkwy
Suite 2020
Wailuku, HI 96793-2467

Phone

(808) 756-9161

NPI assigned

Jan 19, 2007

Last updated

Oct 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1609929710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAUI LANI PKWY",
            "address_2": "SUITE 2020",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932467",
            "telephone_number": "808-756-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAUI LANI PKWY",
            "address_2": "SUITE 2020",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932467",
            "telephone_number": "808-756-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAHARA",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioannis Karakalpakis, MD
• David A. Kato, MD
• Ralph K Kato, DDS
• Tyra Kaukau
• Hiroko Kawachi, MT
• Tinani Kawai'Ekapakahula-Brittendall, RBT
• Kim H. Kawakami, OD
• Amber L. R. Kawamura, M.D.
• Rachel Kaya, PHD
• Toukam Hakeem Kayo Jr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.