Active NPI
Brielle Jean Hoisington
- Dentist
- Kailua Kona, HI
National Provider Identifier
1639653108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-2771
- Practice address
- 75-1028 Henry St Ste 102
Kailua Kona, HI 96740-1693 - Phone
- (808) 443-5203
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DT-2771 | HI | Primary |
Addresses
Primary practice location
75-1028 Henry St Ste 102
Kailua Kona, HI 96740-1693
Mailing address
79-7592 Mamalahoa Hwy
Kealakekua, HI 96750-7908
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 |
|---|---|---|---|
| DT-2771 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1639653108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79-7592 MAMALAHOA HWY",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-1028 HENRY ST STE 102",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401693",
"telephone_number": "808-443-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOISINGTON",
"first_name": "BRIELLE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT-2771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.