Ohana Dental of Kahului LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OHANA DENTAL OF KAHULUI LLC

Practice address

270 Dairy Rd Ste 160
Kahului, HI 96732-2986

Phone

(808) 762-2470

NPI assigned

Sep 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Kim, DDSNPI 1134607500

Title

Owner Dentist

Phone

(808) 277-9026

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliot Kim, DDS

  • Dentist
  • Honolulu, HI
  • NPI 1134607500
  NPD Authorized official

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1851128953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUAHI ST APT 3806",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 DAIRY RD STE 160",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322986",
            "telephone_number": "808-762-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA DENTAL OF KAHULUI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "808-277-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tetsuto Numata, M.D.
• Ricardo Nunez, RN
• Chealeen A Obrero, RN
• Maylene Casio Oda, RN
• Lance Diamond Ogata, D.D.S
• Ohana Urgent Care LLC
• Ohana Wellness Maui, LLC
• Adele Oneill, APRN
• Vanessa Leanne Onkow, RBT
• Oracle Wound Treatment LLC

• Dental Clinic/Center in Kahului, HI
• Providers in Kahului, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.