DR. CONRAD C THEISS JR. (NPI# 1497962229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497962229 |
| Entity Type | Individual |
| Full Name | DR. CONRAD C THEISS JR. |
| Credential | DMD |
| Practice Address |
33 Lono Ave Kahului Building, Suite 210 Kahului HI 96732-1633 |
| Practice Telephone | 8088773605 |
| Practice Fax Number | 8088717446 |
| Mailing Telephone | 8088773605 |
| Mailing Fax Number | 8088717446 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0971 | HI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HAWAII DENTIST | 0971 | 01 |
| HI | HMSA | 8778-3 | 01 |
| Street Address |
33 LONO AVE KAHULUI BUILDING, SUITE 210 |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598824369 | Jeffrey A Guild | Optometrist | 33 Lono Ave, Suite 260, Kahului, HI 96732-1633 | 2006-12-08 |
| 1972058162 | Crscp Maui Inc | Ophthalmology | 33 Lono Ave, Suite 260, Kahului, HI 96732-1633 | 2016-08-17 |
| 1659701878 | Rachel Kane | Physical Therapist | 33 Lono Ave, Suite #240, Kahului, HI 96732 | 2013-11-25 |
| 1346685955 | Kahului Dental | Dentist | 33 Lono Ave, Suite 370, Kahului, HI 96732-1633 | 2013-05-08 |
| 1558547901 | Center for Sight, LLC | Clinic/Center | 33 Lono Ave, Ste. 260, Kahului, HI 96732-1633 | 2008-01-16 |
| 1700096948 | Paul Kent Gibbons | Dentist | 33 Lono Ave, Suite, 210, Kahului, HI 96732-1633 | 2007-05-23 |
| 1922124056 | Kenneth C. Zielinski | Dentist | 33 Lono Ave, Suite #370, Kahului, HI 96732-1633 | 2007-03-21 |
| 1285750323 | Sumie Yoneda | Dentist | 33 Lono Ave, Suite #370, Kahului, HI 96732-1633 | 2007-03-21 |
| 1730218496 | Stephen Larry Schlesinger | Plastic Surgery | 33 Lono Ave, Suite 300, Kahului, HI 96732-1633 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194054940 | Conrad C Theiss Dmd Inc | Dentist | 33 Lono Ave Suite 210, Kahului, HI 96732 | 2009-12-08 |
| 1205987302 | Dean Sachio Arashiro | Dentist | 135 S Wakea Ave, Suite 211, Kahului, HI 96732-1385 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346570330 | Periocare | Dentist | 30 Aulike St Ste 501, Kailua, HI 96734-2752 | 2010-01-13 |
| 1942535471 | Myles C. Miyasato, D.d.s., M.s.,inc. | Dentist | 98-1247 Kaahumanu St Ste 316, Aiea, HI 96701-5301 | 2009-10-16 |
| 1831324490 | Periodontics, A Prof. Corp. | Dentist | 4211 Waialae Ave., Suite 401, Honolulu, HI 96816 | 2009-05-26 |
| 1275776189 | Edmund A. Cassella Dmd, LLC | Dentist | 1441 Kapiolani Blvd Ste 1506, Honolulu, HI 96814-4407 | 2009-04-08 |
| 1083891410 | Clyde S. Umaki | Dentist | 1833 S Beretania St, Honolulu, HI 96826-1307 | 2008-01-28 |
| 1477767051 | Michael G Ching | Dentist | 1060 Young St Ste 216, Honolulu, HI 96814-1609 | 2007-05-10 |
| 1164644787 | Michael Rethman | Dentist | 47-140 Heno Place, Kaneohe, HI 96744-5608 | 2007-05-03 |
| 1336289651 | Francis Y Kihara | Dentist | 1129 E Lower Main St, Ste 207, Wailuku, HI 96793 | 2007-02-07 |
| 1578614558 | Lyndon Daizo Fong | Dentist | 1441 Kapiolani Blvd Ste 616, Suite 616, Honolulu, HI 96814-4403 | 2007-01-16 |
| 1417067315 | Clyde G.c. Mew | Dentist | 2065 S King St, Suite 209, Honolulu, HI 96826-2225 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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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.