Individual provider Active NPI

Alison Marie Kawazoe, DMD

  • Dentist
  • Kaneohe, HI
National Provider Identifier
1811210875
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2392 Issued in HI
Practice address
45-1127 Kamehameha Hwy Ste a
Kaneohe, HI 96744-3200
Phone
(808) 247-6575
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2392 HI Primary

Addresses

Primary practice location

45-1127 Kamehameha Hwy Ste a
Kaneohe, HI 96744-3200

Mailing address

45-1127 Kamehameha Hwy Ste a
Kaneohe, HI 96744-3200
Phone (808) 247-6575

Other practice location 1

850 Kamehameha Hwy
Suite 155
Pearl City, HI 96782-2656
Phone (808) 456-5005

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
2392HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaneohe Smile Center PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811210875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1127 KAMEHAMEHA HWY STE A",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443200",
            "telephone_number": "808-247-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1127 KAMEHAMEHA HWY STE A",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443200",
            "telephone_number": "808-247-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Kamehameha Hwy",
            "address_2": "Suite 155",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "967822656",
            "country_code": "US",
            "telephone_number": "808-456-5005",
            "fax_number": "808-454-2569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAZOE",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.