Organization Active NPI

Minoaka Dental LLC

Doing business as Lihue Dental

  • General Practice Dentistry
  • Lihue, HI
National Provider Identifier
1881327633
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MINOAKA DENTAL LLC
Doing business as
Lihue Dental
Practice address
4414 Kukui Grove St Ste 103
Lihue, HI 96766-2016
Phone
(808) 378-4754
Fax
(808) 748-0389
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Mr. Ameer Eghbarieh, DMDNPI 1720566334
Title
Dentist
Phone
(908) 414-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4414 Kukui Grove St Ste 103
Lihue, HI 96766-2016

Mailing address

4414 Kukui Grove St Ste 103
Lihue, HI 96766-2016
Phone (808) 378-4754

Other names 1

  • LIHUE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

4414 Kukui Grove St
Ste 103
Lihue, HI 96766
Phone (808) 245-9339

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1881327633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 KUKUI GROVE ST STE 103",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662016",
            "telephone_number": "808-378-4754",
            "fax_number": "808-748-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 KUKUI GROVE ST STE 103",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662016",
            "telephone_number": "808-378-4754",
            "fax_number": "808-748-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOAKA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "EGHBARIEH",
        "authorized_official_first_name": "AMEER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-414-2008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIHUE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 7, 2022; 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.