NPIMap

Organization Active NPI

Kuhio Pediatric Dental LLC

  • General Practice Dentistry
  • Lihue, HI
National Provider Identifier
1689123200
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KUHIO PEDIATRIC DENTAL LLC
Practice address
3-3359 Kuhio Hwy
Lihue, HI 96766-1061
Phone
(808) 378-4869
Fax
(808) 320-3329
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Randall P Jaurequi, DDS
Title
Owner/ Dentist
Phone
(808) 378-4869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3-3359 Kuhio Hwy
Lihue, HI 96766-1061

Mailing address

3-3359 Kuhio Hwy
Lihue, HI 96766-1031
Phone (808) 378-4869

National Provider Directory

National Provider Directory

Locations

3-3359 Kuhio Hwy
Lihue, HI 96766
Phone (808) 378-4869

Practitioners & affiliated clinicians

Practitioners 3

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": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1689123200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3359 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661031",
            "telephone_number": "808-378-4869",
            "fax_number": "808-320-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3359 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661061",
            "telephone_number": "808-378-4869",
            "fax_number": "808-320-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUHIO PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "JAUREQUI",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "808-378-4869",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.