Active NPI
Lindsey Kalolena Kawahakui, D.D.S.
- General Practice Dentistry
- Pueblo, CO
National Provider Identifier
1821430414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00202856
- Practice address
- 2047 Columbia Dr
Pueblo, CO 81005-3279 - Phone
- (719) 566-0206
- Fax
- (719) 561-1095
- NPI assigned
- Jul 23, 2013
- Last updated
- Nov 20, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN.00202856 | CO | Primary |
Addresses
Primary practice location
2047 Columbia Dr
Pueblo, CO 81005-3279
Mailing address
2047 Columbia Dr
Pueblo, CO 81005-3279
Phone (719) 566-0206
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 |
|---|---|---|---|
| DEN.00202856 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsey Kawahakui | Current | Accepting new patients | |
| Hero Dental of Santa Fe PC | General Practice | Past | Accepting new patients |
| Hero Vision of Santa Fe LLC | Past | Accepting new patients |
Locations
2047 Columbia Dr
Pueblo, CO 81005
Phone (719) 566-0206
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southern Colorado Family Dental
- Public Health Dentistry
- Pueblo, CO
- NPI 1275308264
-
dba Adventure Dental, Vision and Orthodontics
- General Practice Dentistry
- Santa Fe, NM
- NPI 1033407846
-
dba Adventure Dental, Vision and Orthodontics
- Optometrist
- Santa Fe, NM
- NPI 1144590258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1821430414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 COLUMBIA DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053279",
"telephone_number": "719-566-0206",
"fax_number": "719-561-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 COLUMBIA DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053279",
"telephone_number": "719-566-0206",
"fax_number": "719-561-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWAHAKUI",
"first_name": "LINDSEY",
"middle_name": "KALOLENA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2023-11-20",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00202856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.