Kyoko Awamura, DDS MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

CSDT-60 Issued in HI

Practice address

81-6627 Mamalahoa Hwy
Suite 106
Kealakekua, HI 96750-8180

Phone

(808) 323-8005

Fax

(808) 323-2255

NPI assigned

Feb 5, 2007

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyoko.awamura@hawaiihie.medicity.net

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.

• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kailua Kona, HI
  • NPI 1952335630
  NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1952449464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-6627 MAMALAHOA HWY",
            "address_2": "SUITE 106",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508180",
            "telephone_number": "808-323-8005",
            "fax_number": "808-323-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6627 MAMALAHOA HWY",
            "address_2": "SUITE 106",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508180",
            "telephone_number": "808-323-8005",
            "fax_number": "808-323-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAMURA",
        "first_name": "KYOKO",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "6241",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "CSDT-60",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "6241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5022918",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Armbruster-Bevis
• Clifton W Arrington Jr., MD
• David A Arthurs, DO
• Leslie W.S. Au, D.DS.
• Gary Lee Ault, D.D.S.
• Stephanie Bates
• Albert Paul Becklund, LMT
• Florine K Becklund, LMT
• Ronald Berinobis
• Michael W. Beshoner, M.D.

• Pediatric Dentistry in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Pediatric Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.