Active NPI
Clarice Kaeko Tom
- Dental Hygienist
- Waimanalo, HI
National Provider Identifier
1689358160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH1151
- Practice address
- 41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297 - Phone
- (808) 259-5466
- NPI assigned
- Jun 14, 2023
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH1151 | HI | Primary |
Addresses
Primary practice location
41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297
Mailing address
1421 Ahuawa Loop
Honolulu, HI 96816-5601
Phone (808) 391-3765
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 |
|---|---|---|---|
| DH1151 | HI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1689358160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 AHUAWA LOOP",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165601",
"telephone_number": "808-391-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-1347 KALANIANAOLE HWY STE A",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951297",
"telephone_number": "808-259-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "CLARICE",
"middle_name": "KAEKO",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "HI",
"license": "DH1151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waimanalo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.