DR. CANDACE M. WADA (NPI# 1104830454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104830454 |
| Entity Type | Individual |
| Full Name | DR. CANDACE M. WADA |
| Credential | D.D.S. |
| Practice Address |
4211 Waialae Ave Suite 309 Honolulu HI 96816-5306 |
| Practice Telephone | 8087329232 |
| Practice Fax Number | 8087392132 |
| Mailing Telephone | 8087329232 |
| Mailing Fax Number | 8087392132 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1922 | HI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | STATE LICENSE NUMBER | 1922 | 01 |
| Street Address |
4211 WAIALAE AVE SUITE 309 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457317 | Sheri Sloggett Shanks | Psychologist | 4211 Waialae Ave, Suite 206a, Honolulu, HI 96816-5319 | 2006-05-24 |
| 1699301408 | Elizabeth A Pavlik | Nurse Practitioner | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2020-03-13 |
| 1902366099 | Grisel M Reyes-dennis | Nurse Practitioner | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2019-03-23 |
| 1891285664 | Marchael T Andres | Massage Therapist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-05-16 |
| 1134621352 | Glenn Morikawa | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-03-03 |
| 1710488606 | Kenna Muramoto | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-02-26 |
| 1972001337 | Angelica Hong | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-01-31 |
| 1750821278 | Cassie Robinson | Massage Therapist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2017-03-02 |
| 1417402082 | Jamie Mizusawa | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2016-08-24 |
| 1588012884 | Nadalin Inc | Massage Therapist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862977 | Leilani C. Curameng Dmd LLC | Dentist | 677 Ala Moana Blvd Ste 304, Honolulu, HI 96813-5415 | 2018-05-22 |
| 1164925764 | Christopher Thuc Wu Jr. | Dentist | Queen's Medical Center- Dental Clinic, 1301 Punchbowl St, Honolulu, HI 96813 | 2018-03-10 |
| 1821516097 | Bryson Chang | Dentist | 3270 Waialae Ave, Honolulu, HI 96816-5836 | 2017-09-07 |
| 1114442217 | Yunah Park | Dentist | 500 Ala Moana Boulevard, Seven Waterfront Plaza, #220, Honolulu, HI 96813 | 2017-08-09 |
| 1578934857 | Stuart Ueda, D.m.d. | Dentist | 738 Kaheka St Ste 205, Honolulu, HI 96814-3726 | 2015-10-13 |
| 1780050112 | Kentaro Matsumoto | Dentist | 1010 S King St Ste 206, Honolulu, HI 96814-1703 | 2015-08-20 |
| 1386050508 | Century Dental, LLC | Dentist | 1188 Bishop St Ste 3508, Honolulu, HI 96813-3314 | 2014-07-08 |
| 1649610403 | Elsa F Mueller | Dentist | 1737 Nalulu Pl, Honolulu, HI 96821-1338 | 2013-06-26 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1790121739 | Salt Lake Family Dentistry | Dentist | 848 Ala Lilikoi St Ste 112, Honolulu, HI 96818-2109 | 2013-05-16 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.