Active NPI
Mary Weckback, RDH, OMT
- Dental Hygienist
- Lihue, HI
National Provider Identifier
1821935339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH-1558
- Practice address
- 1970 Hanalima St. M204
Lihue, HI 96766 - Phone
- (808) 482-1017
- NPI assigned
- May 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH-1558 | HI | Primary |
Addresses
Primary practice location
1970 Hanalima St. M204
Lihue, HI 96766
Mailing address
1970 Hanalima St. M204
Lihue, HI 96766
Phone (808) 482-1017
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 |
|---|---|---|---|
| DH-1558 | HI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1821935339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 HANALIMA ST. M204",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-482-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 HANALIMA ST. M204",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-482-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKBACK",
"first_name": "MARY",
"credential": "RDH, OMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "HI",
"license": "DH-1558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.