Organization Active NPI

Laulani Dental Care, LLC

  • General Practice Dentistry
  • Ewa Beach, HI
National Provider Identifier
1720536352
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT2435 Issued in HI
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

Updated by the provider on Sep 12, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.