Organization Active NPI

Kona 'Ohana Dental, Inc.

  • Dentist
  • Kailua Kona, HI
National Provider Identifier
1801037585
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT1584 Issued in HI
Legal business name
KONA 'OHANA DENTAL, INC.
Practice address
76-6225 Kuakini Hwy
Suite B203
Kailua Kona, HI 96740-3211
Phone
(808) 629-6167
Fax
(808) 334-0205
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Mark Y. Muramoto, DDS
Title
Dentist
Phone
(808) 329-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DT1584 HI Primary

Addresses

Primary practice location

76-6225 Kuakini Hwy
Suite B203
Kailua Kona, HI 96740-3211

Mailing address

76-6225 Kuakini Hwy
Suite B203
Kailua Kona, HI 96740-3211
Phone (808) 629-6167

National Provider Directory

National Provider Directory

Locations

76-6225 Kuakini Hwy
Ste B203
Kailua Kona, HI 96740
Phone (808) 329-6167

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1801037585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "SUITE B203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-629-6167",
            "fax_number": "808-334-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "SUITE B203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-629-6167",
            "fax_number": "808-334-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA 'OHANA DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MURAMOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-329-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.