Individual provider Active NPI

Kaimana Mew Lung Goo-Rahtz, DMD, MPH

  • General Practice Dentistry
  • Kapa'a, HI
National Provider Identifier
1700295581
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT- 2531 Issued in HI
Practice address
437 Papaloa Rd
Kapaa, HI 96746-1454
Phone
(808) 823-8707
NPI assigned
Aug 6, 2014
Last updated
Apr 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT- 2531 HI Primary

Addresses

Primary practice location

437 Papaloa Rd
Kapaa, HI 96746-1454

Mailing address

437 Papaloa Rd
Kapaa, HI 96746-1454
Phone (808) 823-8707

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

LicenseStateTypeSpecialty
DT- 2531HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Family Dentistry, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1700295581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 PAPALOA RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461454",
            "telephone_number": "808-823-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 PAPALOA RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461454",
            "telephone_number": "808-823-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOO-RAHTZ",
        "first_name": "KAIMANA",
        "middle_name": "MEW LUNG",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT- 2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.