Active NPI
Laulani Dental Care, LLC
- General Practice Dentistry
- Ewa Beach, HI
National Provider Identifier
1720536352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT2435
- Legal business name
- LAULANI DENTAL CARE, LLC
- Practice address
- 91-1123 Keaunui Dr
Suite 232
Ewa Beach, HI 96706-6364 - Phone
- (808) 291-2487
- NPI assigned
- Sep 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ji Sang Kim
- Title
- DDS
- Phone
- (808) 291-2487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT2435 | HI | Primary |
Addresses
Primary practice location
91-1123 Keaunui Dr
Suite 232
Ewa Beach, HI 96706-6364
Mailing address
91-1123 Keaunui Dr
Suite 232
Ewa Beach, HI 96706-6364
Phone (808) 291-2487
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1720536352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1123 KEAUNUI DR",
"address_2": "SUITE 232",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066364",
"telephone_number": "808-291-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1123 KEAUNUI DR",
"address_2": "SUITE 232",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066364",
"telephone_number": "808-291-2487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAULANI DENTAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JI",
"authorized_official_middle_name": "SANG",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "808-291-2487"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT2435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.