Kevin Urada, P.H.D., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

CSDT 55 Issued in HI

Practice address

16-192 Pilimua Street
Keaau, HI 96749-8134

Phone

(808) 930-0400

Fax

(808) 930-0438

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1851491245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HAILI ST",
            "address_2": "BLDG B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202975",
            "telephone_number": "808-961-4071",
            "fax_number": "808-961-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-192 PILIMUA STREET",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498134",
            "telephone_number": "808-930-0400",
            "fax_number": "808-930-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URADA",
        "first_name": "KEVIN",
        "credential": "P.H.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "CSDT 55",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Keaau, HI
• Providers in Keaau, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.