NPIMap

Organization Active NPI

Kaneohe Dental Group, Inc.

  • General Practice Dentistry
  • Kaneohe, HI
National Provider Identifier
1679699623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1575 Issued in HI
Legal business name
KANEOHE DENTAL GROUP, INC.
Practice address
45-880 Kamehameha Hwy RM 101
Kaneohe, HI 96744-2969
Phone
(808) 247-3343
Fax
(808) 247-3343
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stuart Tsuzaki, DDSNPI 1366568305
Title
Vice President
Phone
(808) 247-3343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1575 HI Primary

Addresses

Primary practice location

45-880 Kamehameha Hwy RM 101
Kaneohe, HI 96744-2969

Mailing address

45-880 Kamehameha Hwy RM 101
Kaneohe, HI 96744-2969
Phone (808) 247-3343

National Provider Directory

National Provider Directory

Locations

45-880 Kamehameha Hwy
Rm 101
Kaneohe, HI 96744
Phone (808) 247-3343

Practitioners & affiliated clinicians

Practitioners 2

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679699623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-880 KAMEHAMEHA HWY RM 101",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442969",
            "telephone_number": "808-247-3343",
            "fax_number": "808-247-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-880 KAMEHAMEHA HWY RM 101",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442969",
            "telephone_number": "808-247-3343",
            "fax_number": "808-247-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEOHE DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSUZAKI",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-247-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.