Dental Technology Center of Hawaii LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

DENTAL TECHNOLOGY CENTER OF HAWAII LLC

Practice address

1314 S King St Ste 724
Honolulu, HI 96814-1942

Phone

(808) 291-2254

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Wade Takenishi, DDS

Title

Dentist

Phone

(808) 291-2254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1649722547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 724",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-291-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 724",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-291-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TECHNOLOGY CENTER OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "TAKENISHI",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-291-2254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Associates, Inc.
• Dental Care Centers of Hawaii, Inc
• Dental Care Professionals of Hawaii, Inc.
• Dental Day Spa of Hawaii - the Specialty Group
• Dental Implant Associates, LLC
• Dentistry for Children Inc.
• Kehaulani Christina Denton, DPT
• Department of Veterans Affairs
• Department of Veterans Affairs
• Jennifer Depry, PSY.D.

• Preferred Provider Organization in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Preferred Provider Organization in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.