Organization Active NPI

Kidshine Kailua LLC

  • Pediatric Dentistry
  • Kailua, HI
National Provider Identifier
1679292981
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDSHINE KAILUA LLC
Practice address
25 Kaneohe Bay Dr Ste 109
Kailua, HI 96734-1711
Phone
(808) 638-3313
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Ms. David Ching, DMD
Title
Ceo
Phone
(808) 638-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

25 Kaneohe Bay Dr Ste 109
Kailua, HI 96734-1711

Mailing address

850 Kamehameha Hwy Ste 215
Pearl City, HI 96782-2603
Phone (808) 638-3313

National Provider Directory

National Provider Directory

Locations

25 Kaneohe Bay Dr
Ste 109
Kailua, HI 96734
Phone (808) 638-3313

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1679292981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY STE 215",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822603",
            "telephone_number": "808-638-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KANEOHE BAY DR STE 109",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341711",
            "telephone_number": "808-638-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSHINE KAILUA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-638-3313",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.