Active NPI
Olivia Hautamaa, DDS
- Dentist
- Aiea, HI
National Provider Identifier
1811733546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-3172
- Practice address
- 98-1005 Moanalua Rd
#2000
Aiea, HI 96701 - Phone
- (808) 489-9530
- NPI assigned
- Jul 2, 2024
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT-3172 | HI | Primary |
Addresses
Primary practice location
98-1005 Moanalua Rd
#2000
Aiea, HI 96701
Mailing address
814 Moffat CT
Castle Rock, CO 80108-9074
Phone (303) 880-2932
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT-3172 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1811733546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 MOFFAT CT",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801089074",
"telephone_number": "303-880-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1005 MOANALUA RD",
"address_2": "#2000",
"city": "AIEA",
"state": "HI",
"postal_code": "96701",
"telephone_number": "808-489-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUTAMAA",
"first_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT-3172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
- Mia Claire Harvey, BCBA
- Sean Hasegawa, LMT
- Sara H Hashimoto, PSY.D.
- Jaiann Monet Haskins
- Lloyd S Hataishi, DDS
- Hawai'I DCR Healthcare Division
- Hawaii Asthma Allergy Associates Inc
- Hawaii Dental Group, Inc. (Hawaii Family Dental Centers-Westridge)
- Hawaii Depression Clinic
- Hawaii Dermatology & Surgery, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.