MALAMA DENTAL 4 KIDS, LLC (NPI# 1598304198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598304198 |
| Entity Type | Organization |
| Organization Name | MALAMA DENTAL 4 KIDS, LLC |
| Practice Address |
275 Ponahawai St Ste 204 Hilo HI 96720-3074 |
| Practice Telephone | 8089616704 |
| Practice Fax Number | 8089351780 |
| Mailing Telephone | 8089616704 |
| Mailing Fax Number | 8089351780 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | DR. AMMON KAU (OWNER) |
| Authorized Official Telephone | 8089616704 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
275 PONAHAWAI ST STE 204 |
| City | HILO |
| State | HI |
| Zip Code | 96720-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861734774 | Thomas Matthew Griffith | Dentist | 2530 Kilauea Ave, Hilo, HI 96720-5613 | 2013-03-19 |
| 1952619694 | Ruth M. Ohata, Dmd, Inc. | Dentist | 275 Ponahawai St, Suite 204, Hilo, HI 96720-3074 | 2010-09-15 |
| 1780719500 | Ruth M Ohata | Dentist | 275 Ponahawai St, Suite 204, Hilo, HI 96720-3074 | 2007-02-22 |
| 1164572764 | Brice H Takata | Dentist | 445 Waianuenue Ave, Hilo, HI 96720-2535 | 2007-01-12 |
| 1306996939 | Ellsworth H Takata Jr. | Dentist | 445 Waianuenue Ave, Hilo, HI 96720-2535 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518457001 | William Jeffrey Keeton | Dentist | 75-1028 Henry St Ste 102, Kailua Kona, HI 96740-1693 | 2018-05-10 |
| 1043744170 | Smiles for Keiki Pediatric Dentistry, LLC | Dentist | 77-135 Kalaniuka St, Holualoa, HI 96725-9729 | 2017-04-15 |
| 1184179350 | Patricia Sanchez Puche | Dentist | 3-3359 Kuhio Hwy, Lihue, HI 96766-1061 | 2016-08-17 |
| 1215481379 | Dean T. Sueda, D.d.s., M.s. Inc | Dentist | 1020 Kakala St, 801, Kapolei, HI 96707-4546 | 2016-08-06 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1184046716 | Keiki Dental Specialists | Dentist | 1302 Moanalualani Ct Apt D, Honolulu, HI 96819-1221 | 2014-01-16 |
| 1578999025 | Ronald Hirata | Dentist | 75-5845 Alii Dr, Kailua Kona, HI 96740-1329 | 2013-09-16 |
| 1902152713 | Michelle S. Chung | Dentist | 4211 Waialae Ave Ste 405, Honolulu, HI 96816-5317 | 2012-07-30 |
| 1922337765 | Howard Y Kim Dds Inc | Dentist | 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 | 2009-12-07 |
| 1497982706 | Clyde Y. Uchida, D.d.s., M.s., Inc. | Dentist | 4211 Waialae Ave Ste 3070, Honolulu, HI 96816-5343 | 2009-06-12 |
| 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.