Organization Active NPI

Kailua Center for Progressive Dentistry, LLC

  • General Practice Dentistry
  • Kailua, HI
National Provider Identifier
1982836102
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1927 Issued in HI
Legal business name
KAILUA CENTER FOR PROGRESSIVE DENTISTRY, LLC
Practice address
602 Kailua Rd Ste 201
Kailua, HI 96734-2841
Phone
(808) 263-6620
Fax
(808) 263-0997
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Jeffrey Sonson, D.D.S.
Title
Owner
Phone
(808) 263-6620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1927 HI Primary

Addresses

Primary practice location

602 Kailua Rd Ste 201
Kailua, HI 96734-2841

Mailing address

602 Kailua Rd Ste 201
Kailua, HI 96734-2841
Phone (808) 263-6620

National Provider Directory

National Provider Directory

Locations

602 Kailua Rd
Ste 201
Kailua, HI 96734
Phone (808) 263-6620

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1982836102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 KAILUA RD STE 201",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342841",
            "telephone_number": "808-263-6620",
            "fax_number": "808-263-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 KAILUA RD STE 201",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342841",
            "telephone_number": "808-263-6620",
            "fax_number": "808-263-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILUA CENTER FOR PROGRESSIVE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "SONSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-263-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.