Maui Oral Surgery LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DT926 Issued in HI

Legal business name

MAUI ORAL SURGERY LLC

Practice address

1063 L Main St
Ste C221
Wailuku, HI 96793

Phone

(808) 244-7634

Fax

(808) 242-2851

NPI assigned

Dec 6, 2007

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MAUL ORAL SURGERY LLCAs reported in NPPES

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

Authorized official

Name

Richard A Rasmussen, DDSNPI 1437235710

Title

Member

Phone

(808) 244-7634

Specialties & licenses 1

Addresses

Part of

Maui Oral Surgery LLC

Locations

Practitioners 2

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.

• Richard Rasmussen, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Wailuku, HI
  • NPI 1437235710
  NPD (past) Authorized official
• Todd G Carter, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wailuku, HI
  • NPI 1689616633
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1962685511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 L MAIN ST",
            "address_2": "STE C221",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-244-7634",
            "fax_number": "808-242-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 L MAIN ST",
            "address_2": "STE C221",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "808-244-7634",
            "fax_number": "808-242-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI ORAL SURGERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAUL ORAL SURGERY LLC",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-244-7634",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maui Memorial Medical Center
• Maui Memorial Medical Center - Behavior Health
• Maui Memorial Medical Center - Cardio Vascular
• Maui Midwifery
• Maui Nephrology LLC
• Maui Orthopedic Institute LLC
• Maui Pharmacy Solutions LLC (Mauliola Pharmacy at Maui Medical Group)
• Maui Pharmacy Solutions LLC (Mauliola Clinical Services)
• Maui Pharmacy Solutions LLC
• Maui Pharmacy Solutions LLC (Mauliola Pharmacy)

• Dentist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.