EWA BEACH DENTISTS LLC (NPI# 1598251894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598251894 |
| Entity Type | Organization |
| Organization Name | EWA BEACH DENTISTS LLC |
| Other Organization Name | HAWAII DENTAL CLINIC EWA BEACH |
| Practice Address |
105 Fort Weaver Road Ste 105 Ewa Beach HI 96706 |
| Mailing Address |
1050 Queen St Ste 100 Honolulu HI 96814-4130 |
| Practice Telephone | 8083089720 |
| Mailing Telephone | 8082022092 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | DR. LISA WH WONG (MANAGER) |
| Authorized Official Telephone | 8083089720 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2521 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hawaii Dental Clinic Ewa Beach | Doing Business As Name - Organization |
| Street Address |
105 FORT WEAVER ROAD STE 105 |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| 1265988513 | Jackielyn Bautista | Nursing Home Administrator | 91-843 Hanakahi St, Ewa Beach, HI 96706 | 2016-08-28 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285711424 | Tokunaga Family Dentistry LLC | Clinic/Center | 91-902 Fort Weaver Rd Ste 208, Ewa Beach, HI 96706-2261 | 2006-11-01 |
| 1093892234 | Jennifer H. Hirota, Dds, LLC | Clinic/Center | 91-902 Fort Weaver Rd Ste 208, Ewa Beach, HI 96706-2261 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300614 | Ji S Kim | Clinic/Center | 95-1095 Ainamakua Drive, Suite 5/7 A, Mililani, HI 96789 | 2020-06-16 |
| 1073153789 | Scott S. Shimabukuro, Dds | Clinic/Center | 2-2389 Kaumualii Hwy, Kalaheo, HI 96741 | 2020-01-10 |
| 1164067682 | Dental World Kaneohe LLC | Clinic/Center | 46-005 Kawa St Ste 204, Kaneohe, HI 96744-3812 | 2019-11-07 |
| 1760027288 | Big Island Smiles Orthodontocs LLC | Clinic/Center | 76-6225 Kuakini Hwy Ste B101, Kailua Kona, HI 96740-3223 | 2019-11-07 |
| 1851864920 | Aloha Family Dentistry Hawaii | Clinic/Center | 45-1144 Kamehameha Hwy Ste 304, Kaneohe, HI 96744-3226 | 2019-01-10 |
| 1891268108 | Kahului Dentists LLC | Clinic/Center | 270 Dairy Rd Ste 160, Kahului, HI 96732-2986 | 2019-01-09 |
| 1558839589 | Kidshine Kapolei LLC | Clinic/Center | 590 Farrington Hwy Unit 155, Kapolei, HI 96707-2011 | 2018-11-07 |
| 1528548716 | Lisa Valderueda, Dmd, Inc. | Clinic/Center | 94-229 Waipahu Depot St Ste 500, Waipahu, HI 96797-3035 | 2018-08-16 |
| 1033695382 | Clarence K.m. Young, D.d.s. | Clinic/Center | 1150 S King St Ste 503, Honolulu, HI 96814-1952 | 2018-07-18 |
| 1932695327 | Robert K. Azama, D.m.d. | Clinic/Center | 850 Kamehameha Hwy Ste 115, Pearl City, HI 96782-2603 | 2018-07-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EWA BEACH DENTISTS LLC.
| 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.