NPIMap

Organization Active NPI

Hiiaka Dental

  • Dental Clinic/Center
  • Kapolei, HI
National Provider Identifier
1902648488
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HIIAKA DENTAL
Practice address
1001 Kamokila Blvd Ste 157
Kapolei, HI 96707-2090
Phone
(808) 692-8888
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Rocio Escobar Bustamante, DMDNPI 1366006223
Title
DMD
Phone
(502) 553-6419

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1001 Kamokila Blvd Ste 157
Kapolei, HI 96707-2090

Mailing address

1073 Kinau St Apt 604
Honolulu, HI 96814-1405

National Provider Directory

National Provider Directory

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": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1902648488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 KINAU ST APT 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 157",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072090",
            "telephone_number": "808-692-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIIAKA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR BUSTAMANTE",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "502-553-6419",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.