Individual provider Active NPI

Lisa Kai Klosterman, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Honolulu, HI
National Provider Identifier
1972829158
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3150 Issued in HI
Practice address
934 Punahou St Ste E
Honolulu, HI 96826-2522
Phone
(808) 777-2377
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 204195 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 57932 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30856 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3150 HI Primary

Addresses

Primary practice location

934 Punahou St Ste E
Honolulu, HI 96826-2522

Mailing address

PO Box 8583
Honolulu, HI 96830-0583
Phone (808) 216-8673

Other names 1

  • Lisa Miyuki Kai Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
57932CAMDOrthodontics and Dentofacial Orthopedic Dentist
204195COMDOrthodontics and Dentofacial Orthopedic Dentist
30856TXMDPharmacist
3150HIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1972829158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8583",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968300583",
            "telephone_number": "808-216-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 PUNAHOU ST STE E",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262522",
            "telephone_number": "808-777-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMAN",
        "first_name": "LISA",
        "middle_name": "KAI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "204195",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57932",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30856",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KAI",
            "middle_name": "MIYUKI",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.