Hawaii Dental Clinic Lanai

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HAWAII DENTAL CLINIC LANAI

Practice address

730 Lanai Avenue #101
Lanai City, HI 96763

Phone

(808) 565-6418

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lisa WH Wong, DMD

Title

Member

Phone

(808) 538-6522

Specialties & licenses 1

Addresses

Other names 1

• Hawaii Dental Clinic LLC Other name

Tax ID family

Hawaii Dental Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Hawaii Dental Clinic

  • Dentist
  • Honolulu, HI
  • NPI 1275951618
  NPD tax ID
• Hawaii Dental Clinic LLC

  • Dentist
  • Honolulu, HI
  • NPI 1295100501
  NPD tax ID
• Hawaii Dental Clinic LLC

  • Dentist
  • Honolulu, HI
  • NPI 1477003622
  NPD tax ID

Locations

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1801208178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C117B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132287",
            "telephone_number": "808-538-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 LANAI AVENUE #101",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "96763",
            "telephone_number": "808-565-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII DENTAL CLINIC LANAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Clinic LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tyra Renee Du Bose
• Marivic Abarra Elaydo, RBT
• Michele Ann Evangelista, MASSAGE THERAPIST
• Reynold Masaji Gima, MSC
• Nora Kay Harmsen, DDS
• Honolulu Vamc
• Honu Counseling Services, Inc.
• Karl O. Hynes Sr., D.C.
• Jharledis Ibarra
• Integrated Health Services, LLC

• Dentist in Lanai City, HI
• Providers in Lanai City, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.