Kuhio Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

DT 1617 Issued in HI

Legal business name

KUHIO DENTAL GROUP

Practice address

111 E Puainako St Unit 104
Hilo, HI 96720-5288

Phone

(808) 959-3433

Fax

(808) 959-3675

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan William Mah, D.D.S.

Title

Owner

Phone

(808) 959-3433

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1992936140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E. PUAINAKO ST.,",
            "address_2": "UNIT #104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-959-3433",
            "fax_number": "808-959-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E PUAINAKO ST UNIT 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205288",
            "telephone_number": "808-959-3433",
            "fax_number": "808-959-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUHIO DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-959-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT 1617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICES ASSOCIATION",
            "identifier": "00L063804",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DENTAL SERVICES",
            "identifier": "61617",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537730",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Ann Shintani Kua, APRN, CARN-AP, PMHNP
• Barbara Ann Kualii, RN
• Chaynee Kuamoo
• Anjanette Carrie Wong Kubo, P.T.
• Katelynn Halekulani Kayo Kubo, RDN, LD
• Kimberly Kuklis, APRN
• Kula Health LLC
• Kelsey Kumiji, PT
• Glenn Kunimura, O.D.
• Roylin M Kunishige Jr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.