Organization Active NPI

Howard Y Kim DDS Inc

  • Pediatric Dentistry
  • Kailua, HI
National Provider Identifier
1922337765
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
807 Issued in HI
Legal business name
HOWARD Y KIM DDS INC
Practice address
642 Ulukahiki St Ste 308
Kailua, HI 96734-4439
Phone
(808) 261-5354
Fax
(808) 262-5666
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Howard Yb Kim, DDS
Title
Owner
Phone
(808) 261-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 807 HI Primary

Addresses

Primary practice location

642 Ulukahiki St Ste 308
Kailua, HI 96734-4439

Mailing address

642 Ulukahiki St Ste 308
Kailua, HI 96734-4439
Phone (808) 261-5354

Other identifiers 1

IdentifierTypeStateIssuer
521519MedicaidHI

National Provider Directory

National Provider Directory

Locations

642 Ulukahiki St
Ste 308
Kailua, HI 96734
Phone (808) 261-5354

Practitioners & affiliated clinicians

Practitioners 3

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": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1922337765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 308",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-261-5354",
            "fax_number": "808-262-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 308",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-261-5354",
            "fax_number": "808-262-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD Y KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "YB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-261-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521519",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.