Individual provider Active NPI

Lilly Li Geyer, DMD

  • General Practice Dentistry
  • Kailua, HI
National Provider Identifier
1932111077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT2106 Issued in HI
Practice address
30 Aulike St
Suite 503
Kailua, HI 96734-2707
Phone
(808) 384-4579
Fax
(808) 261-1449
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT2106 HI Primary

Addresses

Primary practice location

30 Aulike St
Suite 503
Kailua, HI 96734-2707

Mailing address

94-1022 Maiau St
Waipahu, HI 96797-5506
Phone (808) 384-4579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT2106HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Island Dentistry, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932111077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1022 MAIAU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975506",
            "telephone_number": "808-384-4579",
            "fax_number": "808-261-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 503",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-384-4579",
            "fax_number": "808-261-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "LILLY",
        "middle_name": "LI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.