Individual provider Active NPI

Cindy S. Kubota, DMD

  • General Practice Dentistry
  • Pearl City, HI
National Provider Identifier
1942335575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1854 Issued in HI
Practice address
812 Lehua Ave Ste D
Pearl City, HI 96782-3621
Phone
(808) 455-1973
Fax
(808) 455-3488
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

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 1854 HI Primary

Addresses

Primary practice location

812 Lehua Ave Ste D
Pearl City, HI 96782-3621

Mailing address

812 Lehua Ave Ste D
Pearl City, HI 96782-3621
Phone (808) 455-1973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331002012 HI Practitioner - Dentist 6406379460 Practice locations: Pearl City, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1854HIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy S. Kubota, DMD LLC General Practice CurrentSince Mar 24, 2025 Accepting new patients

Locations

812 Lehua Ave
Ste D
Pearl City, HI 96782
Phone (808) 455-1973

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942335575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 LEHUA AVE STE D",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823621",
            "telephone_number": "808-455-1973",
            "fax_number": "808-455-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 LEHUA AVE STE D",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823621",
            "telephone_number": "808-455-1973",
            "fax_number": "808-455-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBOTA",
        "first_name": "CINDY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.