Organization Active NPI

Nishioka DMD LLC

  • Dental Clinic/Center
  • Waianae, HI
National Provider Identifier
1619849874
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NISHIOKA DMD LLC
Practice address
85-761 Farrington Hwy
Waianae, HI 96792-2463
Phone
(808) 696-7575
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Kylee Leidholt Nishioka, DMD
Title
Member
Phone
(406) 951-1345

Specialties & licenses 1

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

Addresses

Primary practice location

85-761 Farrington Hwy
Waianae, HI 96792-2463

Mailing address

85-761 Farrington Hwy
Waianae, HI 96792-2463
Phone (808) 696-7575

Other names 1

  • Waianae Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1619849874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-761 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922463",
            "telephone_number": "808-696-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-761 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922463",
            "telephone_number": "808-696-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHIOKA DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "LEIDHOLT NISHIOKA",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-951-1345",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waianae Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.