Organization Active NPI

Wahiawa Tokunaga Family Dentistry, LLC

  • Health Maintenance Organization
  • Wahiawa, HI
National Provider Identifier
1710270772
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1529 Issued in HI
Legal business name
WAHIAWA TOKUNAGA FAMILY DENTISTRY, LLC
Practice address
612 Kilani Ave
Wahiawa, HI 96786-1904
Phone
(808) 622-5570
Fax
(808) 622-5572
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Kelli Sousa
Title
Receptionist
Phone
(808) 689-7964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1529 HI Primary

Addresses

Primary practice location

612 Kilani Ave
Wahiawa, HI 96786-1904

Mailing address

612 Kilani Ave
Wahiawa, HI 96786-1904
Phone (808) 622-5570

National Provider Directory

National Provider Directory

Locations

612 Kilani Ave
Wahiawa, HI 96786
Phone (808) 622-5570

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1710270772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 KILANI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861904",
            "telephone_number": "808-622-5570",
            "fax_number": "808-622-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 KILANI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861904",
            "telephone_number": "808-622-5570",
            "fax_number": "808-622-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA TOKUNAGA FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "808-689-7964"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "HI",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.