Individual provider Active NPI

Steven McDaniel, DMD

  • Pediatric Dentistry
  • Wailuku, HI
National Provider Identifier
1801456918
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2892 Issued in HI
Practice address
95 Mahalani St RM 21
Wailuku, HI 96793-2521
Phone
(808) 244-8521
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2892 HI Primary

Addresses

Primary practice location

95 Mahalani St RM 21
Wailuku, HI 96793-2521

Mailing address

53 S Puunene Ave Ste 115
Kahului, HI 96732-2192
Phone (702) 937-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2892HIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Small Kine Smiles LLC Pediatric Dentistry Current Accepting new patients
Hui No Ke Ola Pono, Inc. CurrentSince Feb 19, 2023 Accepting new patients

Locations

95 Mahalani St
Rm 21
Wailuku, HI 96793
Phone (808) 244-4647

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1801456918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE STE 115",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "702-937-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST RM 21",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-244-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "STEVEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.