Individual provider Active NPI

Carl H Kobayashi, DDS

  • Dentist
  • Lahaina, HI
National Provider Identifier
1942368006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1375 Issued in HI
Practice address
154 Papalaua St
Suite 102
Lahaina, HI 96761
Phone
(808) 662-3300
Fax
(808) 662-3304
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Dentist 122300000X D1375 HI Primary

Addresses

Primary practice location

154 Papalaua St
Suite 102
Lahaina, HI 96761

Mailing address

154 Papalaua St
Suite 102
Lahaina, HI 96761
Phone (808) 662-3300

Other identifiers 2

IdentifierTypeStateIssuer
K21945OtherHIHMSA NON PAR
1375OtherHIHAWAII DENTAL SERVICE

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
D1375HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Dental Studio, LLC PastSince May 25, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942368006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 PAPALAUA ST",
            "address_2": "SUITE 102",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "96761",
            "telephone_number": "808-662-3300",
            "fax_number": "808-662-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 PAPALAUA ST",
            "address_2": "SUITE 102",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "96761",
            "telephone_number": "808-662-3300",
            "fax_number": "808-662-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAYASHI",
        "first_name": "CARL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "D1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA NON PAR",
            "identifier": "K21945",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICE",
            "identifier": "1375",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, 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.