Active NPI
Stewart Peter Ahn, DDS
- General Practice Dentistry
- Mililani, HI
National Provider Identifier
1619939725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2025
- Practice address
- 95-221 Kipapa Dr # 4-B
Mililani, HI 96789-1147 - Phone
- (800) 795-2864
- NPI assigned
- Apr 4, 2006
- Last updated
- Oct 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2025 | NM | Primary |
Addresses
Primary practice location
95-221 Kipapa Dr # 4-B
Mililani, HI 96789-1147
Mailing address
520 Lunalilo Home Rd
#8119
Honolulu, HI 96825-1700
Phone (505) 400-0320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avs Wellness LLC | Current | Accepting new patients | |
| Philip WS Chang DDS | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Honolulu, HI
- NPI 1881456432
-
- Dentist
- Honolulu, HI
- NPI 1982344271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1619939725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LUNALILO HOME RD",
"address_2": "#8119",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251700",
"telephone_number": "505-400-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-221 KIPAPA DR # 4-B",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891147",
"telephone_number": "800-795-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "STEWART",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "2025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.