Marcus a Hannah DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2078 Issued in HI

Legal business name

MARCUS A HANNAH DDS LLC

Doing business as

Kailua Dental Arts

Practice address

970 N Kalaheo Ave
Suite A305
Kailua, HI 96734-1866

Phone

(808) 254-5454

Fax

(808) 254-5427

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Anthony Hannah, D.D,SNPI 1043322282

Title

Owner

Phone

(808) 254-5454

Specialties & licenses 1

Addresses

Other names 1

• Kailua Dental Arts Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcus Anthony Hannah, DDS

  • General Practice Dentistry
  • Kailua, HI
  • NPI 1043322282
  NPD (past) Authorized official
• Susan Shim, DDS

  • Dentist
  • Kailua, HI
  • NPI 1730434481
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1699022269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE A305",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-254-5454",
            "fax_number": "808-254-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE A305",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-254-5454",
            "fax_number": "808-254-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS A HANNAH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-254-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D,S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kailua Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shaina Makanamaikalani Manoa Kaui, LMT, CMMP
• Sabino Manzulli, LMT
• Myra Addenbrooke Marfori
• Maria a Markarian DO Facc Inc
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• Mark J Ferri DO Professional LLC (Ohana Osteopathic and Wellness Center)

• General Practice Dentistry in Kailua, HI
• Providers in Kailua, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.