Oahu Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

OAHU ORAL AND MAXILLOFACIAL SURGERY

Practice address

1441 Kapiolani Blvd Ste 920
Honolulu, HI 96814-4405

Phone

(808) 973-3700

Fax

(808) 973-3707

NPI assigned

Jan 8, 2020

Organization subpart

Yes

Parent organization

OAHU ORAL & MAXILLOFACIAL SURGERYAs reported in NPPES

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

Authorized official

Name

Heidi Martin

Title

Credentialing and Contracting

Phone

(808) 230-8000

Specialties & licenses 1

Addresses

Tax ID family

Oahu Oral and Maxillofacial Surgery2 organizations share this tax ID, including this one

Part of

Oahu Oral and Maxillofacial Surgery

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oahu Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Kaneohe, HI
  • NPI 1164948642
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Oahu Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Kaneohe, HI
  • NPI 1164948642
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Mark Hannon, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kaneohe, HI
  • NPI 1457545063
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1952941817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY STE 301",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443226",
            "telephone_number": "808-230-8000",
            "fax_number": "808-369-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 920",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144405",
            "telephone_number": "808-973-3700",
            "fax_number": "808-973-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAHU ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAHU ORAL & MAXILLOFACIAL SURGERY",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CREDENTIALING AND CONTRACTING",
        "authorized_official_telephone_number": "808-230-8000"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oahu Endodontics, Inc.
• Oahu Family Chiropractic
• Oahu Gastroenterology Inc
• Oahu Kidney Care LLC
• Oahu Natural Care, LLC
• Oahu Orthodontics Inc
• Oahu Pain Care
• Oahu Physio Therapy Inc
• Oahu Speech Language Pathology Consultants
• Oahu Therapy Clinic LLC

• Oral and Maxillofacial Surgery (Dentist) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.