Kawili Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1963 Issued in HI

Legal business name

KAWILI DENTAL GROUP INC

Practice address

50 W Kawili St
Hilo, HI 96720-5037

Phone

(808) 935-0030

NPI assigned

Nov 11, 2009

Last updated

Nov 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffanie Wang, DDSNPI 1952430639

Title

Dentist

Phone

(808) 935-0030

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, and the practitioner matching its NPPES authorized official.

• Tiffanie Y Wang, D.D.S.

  • General Practice Dentistry
  • Hilo, HI
  • NPI 1952430639
  Authorized official Same address or phone

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1922335082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W KAWILI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-0030",
            "fax_number": "808-935-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W KAWILI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205037",
            "telephone_number": "808-935-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWILI DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-935-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaumana Drive Partners LLC (Legacy Hilo Rehabilitation and Nursing Center)
• Kaumana Pharmaceuticals
• Kaumana Wellness LLC
• Ian Kawamoto, O.D.
• Kaycee N.E. Kawano
• Kaylin Kiani Wong Kaaua, FNP-C, LLC
• Ke Alaula, Inc.
• Ke Ola Kino Physical Therapy, LLC (Ke Ola Kino Physical Therapy)
• Gizelle Theresa Kealoha-Kahele, RBT 2
• Ashley Keawe

• General Practice Dentistry in Hilo, HI
• Providers in Hilo, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.