Kahului Dentists LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KAHULUI DENTISTS LLC

Doing business as

Hawaii Dental Clinic - Kahului

Practice address

270 Dairy Rd Ste 160
Kahului, HI 96732-2986

Phone

(808) 242-4774

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lisa WH Wong, DMD

Title

Dentist

Phone

(808) 538-6522

Specialties & licenses 1

Addresses

Other names 1

• Hawaii Dental Clinic - Kahului Doing business as

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 (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1891268108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O HAWAII DENTAL",
            "address_2": "1050 QUEEN STREET STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-202-2092"
        },
        {
            "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": "808-242-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHULUI DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Clinic - Kahului",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noreen Joyce, LCSW
• Julia Hengst LMFT (Nonordinary Psychology)
• Tereza Jurasek, PT
• Francine Kahihikolo-Potoae
• Kahului Dental
• Andrew Howard Kalehuawehe Jr., RBT
• Tricia Kauionalani Kama, RBT
• Lohealani Mayumi Apela Kamau
• Kaleinani Kana
• Aiyana L Kanakaole, LCSW

• 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 Jan 9, 2019; 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.