Yongsok DO, D.M.D., L.L.C

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DT-2316 Issued in HI

Legal business name

YONGSOK DO, D.M.D., L.L.C

Doing business as

Keiki Dental

Practice address

91-2139 Fort Weaver Rd
Suite 301
Ewa Beach, HI 96706-3607

Phone

(808) 680-9411

NPI assigned

Apr 12, 2011

Last updated

Apr 12, 2011By 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

Yongsok DO, D.M.D.NPI 1730104407

Title

Member/Owner

Phone

(808) 680-9411

Specialties & licenses 1

Addresses

Other names 1

• Keiki Dental Doing business as

Locations

Practitioners 1

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.

• Yongsok DO, D.M.D

  • Pediatric Dentistry
  • Ewa Beach, HI
  • NPI 1730104407
  NPD (past) Authorized official

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1720378664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD",
            "address_2": "SUITE 301",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063607",
            "telephone_number": "808-680-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD",
            "address_2": "SUITE 301",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063607",
            "telephone_number": "808-680-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONGSOK DO, D.M.D., L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "YONGSOK",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "808-680-9411",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT-2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keiki Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Yasuda, MSW
• Jennifer Jing Yau, L.AC.
• Sera-Lyn Sue Hing Yee, MD
• Stacey Ann Yim
• Meghan Yingling, BA
• Marcella Marie Young, RN
• Chihui Yuan, D.O.
• Kareece GM Zane, RD
• Marikka Zavas, LMFT
• Joanne K. Zazzera, P.T.

• Pediatric Dentistry in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Pediatric Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.