NPIMap

Organization Active NPI

Kaneohe Dental Care, LLC

  • Dental Clinic/Center
  • Kaneohe, HI
National Provider Identifier
1710639281
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KANEOHE DENTAL CARE, LLC
Practice address
45-950 Kamehameha Hwy
Kaneohe, HI 96744-3260
Phone
(808) 247-4291
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dr. Cedric T Lewis, DMDNPI 1457582058
Title
Owner/Sole Member
Phone
(808) 428-3278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

45-950 Kamehameha Hwy
Kaneohe, HI 96744-3260

Mailing address

72 Moaniala PL
Honolulu, HI 96821-2544
Phone (808) 428-3278

Other names 1

  • Kaneohe Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

45-950 Kamehameha Hwy
Kaneohe, HI 96744
Phone (808) 247-4291

Practitioners & affiliated clinicians

Practitioners 6

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": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1710639281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOANIALA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212544",
            "telephone_number": "808-428-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-950 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443260",
            "telephone_number": "808-247-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEOHE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "808-428-3278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaneohe Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.