NPIMap

Organization Active NPI

Hawaii Dental Wellness, LLC

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1932473634
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1784 Issued in HI
Legal business name
HAWAII DENTAL WELLNESS, LLC
Practice address
1139 Bethel St
Honolulu, HI 96813-2207
Phone
(808) 533-3892
Fax
(808) 523-1240
NPI assigned
Feb 28, 2012
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Randal T. Motooka, D.D.S.NPI 1790859288
Title
General Dentist
Phone
(808) 533-3892

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1784 HI Primary
General Practice Dentistry 1223G0001X 1961 HI

Addresses

Primary practice location

1139 Bethel St
Honolulu, HI 96813-2207

Mailing address

1139 Bethel St
Honolulu, HI 96813-2207
Phone (808) 533-3892

National Provider Directory

National Provider Directory

Locations

1139 Bethel St
Honolulu, HI 96813
Phone (808) 533-0000

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1932473634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132207",
            "telephone_number": "808-533-3892",
            "fax_number": "808-523-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 BETHEL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132207",
            "telephone_number": "808-533-3892",
            "fax_number": "808-523-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII DENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "MOTOOKA",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "808-533-3892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1784",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.