DR. KENN KANESHIRO (NPI# 1538150099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538150099 |
| Entity Type | Individual |
| Full Name | DR. KENN KANESHIRO |
| Credential | DDS |
| Practice Address |
18th Medical Group Unit 5142 Apo AP 96368-5142 |
| Mailing Address |
Psc 80 Box 13688 Apo AP 96367-9998 |
| Practice Telephone | 0989604650 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DT 1907 | HI | Dental Providers |
| Street Address |
18TH MEDICAL GROUP UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96368-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047919 | Kenneth Arthur Conner | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1891329462 | Nora Kohri | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2020-02-23 |
| 1255892394 | Spencer Kennedy Smith | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2019-03-29 |
| 1245713940 | Anthony J Sanger | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-09-10 |
| 1811474661 | Yangdi Zhou | Dentist | 18th Medical Group, Apo, AP 96368-5142 | 2018-07-24 |
| 1992293682 | Julianne Elizabeth Pilla | Military Health Care Provider | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-04-27 |
| 1053835181 | Bonnie Le | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-31 |
| 1578086872 | Julia Vu | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2017-07-19 |
| 1205358587 | Michele Ferrer Schantz | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-08 |
| 1629517719 | Blake Lewis Tollison | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
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| 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 |
|---|---|---|---|---|
| 1376763201 | Michelle Bongiovi | Dentist | Usaf, Psc 78, Apo, AP 96326-0001 | 2007-04-25 |
| 1346285525 | David Hongseok Kwon | Dentist | 618th Dental Company(as), Usa Dentac-korea, Unit #15652, Apo, AP 96205-5652 | 2006-06-19 |
| 1437109956 | David Allen Mott | Dentist | Usa Dental Activity -hawaii, Pacific Regional Dental Command, Apo, AP 96859-5000 | 2006-05-12 |
| 1598740912 | Robert Franklin Blodgett Jr. | Dentist | 18th Dental Squadron, Unit 5270, Apo, AP 96368 5270 | 2005-12-08 |
| 1831173624 | Richard Alden Nichols | Dentist | Us Army Dental Activity Bavaria, Unit 28038, Apo, AE 09112 | 2005-12-05 |
| 1427047919 | Kenneth Arthur Conner | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1568456192 | Ruben Sarmiento Sagun Jr. | Dentist | 86 Mdg, Unit 3215, Apo, AE 09094-3215 | 2005-09-09 |
| 1861486326 | Raymond Martin Klein | Dentist | Psc 80 Box 14563, Apo, AP 96367-0048 | 2005-09-09 |
| 1578638342 | Michael George Moyer | Dentist | Bavaria Dental Activity Credentials Office, Cmr 475, Apo, AE 09036 | 2006-11-21 |
| 1366460693 | Casey Mccray Campbell | Dentist | 51 Mdg, Unit 2060, Apo, AP 96278-2060 | 2006-07-17 |
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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.