Waimanalo Dentists LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WAIMANALO DENTISTS LLC

Practice address

41-1537 Kalanianaole Hwy
Waimanalo, HI 96795-1185

Phone

(808) 538-6522

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nolan Kido

Title

Director of Business Operations

Phone

(808) 538-6522

Specialties & licenses 1

Addresses

Other names 1

• Hawaii Dental Clinic Waimanalo Doing business as

Locations

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1972023968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C117B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132287",
            "telephone_number": "808-538-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-1537 KALANIANAOLE HWY",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951185",
            "telephone_number": "808-538-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIMANALO DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "KIDO",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Clinic Waimanalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarice Kaeko Tom
• Karen Marie Tominaga, RDH
• Truenorth RCM, LLC
• Dana Kanani Uchibori
• Laura Vanhorn, RBT
• Waimanalo Health Center
• Waimanalo Health Center
• Waimanalo Health Center
• Waimanalo Health Center
• Waimanalo Pharmacy Inc

• All providers in Waimanalo, HI
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.