DR. KELLY KAWAHARA (NPI# 1609929710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609929710 |
| Entity Type | Individual |
| Full Name | DR. KELLY KAWAHARA |
| Credential | DMD |
| Practice Address |
54 Maui Lani Pkwy Suite 2020 Wailuku HI 96793-2467 |
| Practice Telephone | 8087569161 |
| Mailing Telephone | 8087569161 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DT-2141 | HI | Dental Providers |
| Street Address |
54 MAUI LANI PKWY SUITE 2020 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295111615 | Maui Dental Professionals LLC | Dentist | 54 Maui Lani Pkwy, Suite 2020, Wailuku, HI 96793-2467 | 2015-08-07 |
| 1295862449 | Todd Girard | Dentist | 54 Maui Lani Pkwy, Suite 2020, Wailuku, HI 96793-2467 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588904171 | Heather Ann Hearon | Dentist | 752 Lower Main St, Wailuku, HI 96793-1480 | 2013-02-19 |
| 1952667032 | Chris Mcneil Dds, Ltd. | Dentist | 1830 Wells St Ste 201, Wailuku, HI 96793-2365 | 2012-04-03 |
| 1639309750 | Morgan K. Strawn | Dentist | 24 N Church St Ste 206, Wailuku, HI 96793-1606 | 2009-07-23 |
| 1043481187 | Ralph K. Kato Dds, Inc. | Dentist | 1063 Lower Main St Ste C201, Wailuku, HI 96793-2052 | 2008-03-17 |
| 1962685511 | Maui Oral Surgery LLC | Dentist | 1063 L Main St, Ste C221, Wailuku, HI 96793 | 2007-12-06 |
| 1518161124 | Casey Zeni Tamashiro | Dentist | 1728 Wili Pa Loop Ste 100, Wailuku, HI 96793-1284 | 2007-06-14 |
| 1740329846 | Ross Masuo Fujimoto | Dentist | 1063 E Main St, Ste C105, Wailuku, HI 96793 | 2007-02-05 |
| 1114008869 | Paul W. Thomas | Dentist | 95 Mahalani St Ste 21, Wailuku, HI 96793-2521 | 2006-10-18 |
| 1841850583 | Sean Odo | Dentist | 1836 Wili Pa Loop, Wailuku, HI 96793-1272 | 2019-06-14 |
| 1861861197 | Heidi Roberts | Dentist | 1881 Nani St, Wailuku, HI 96793-1811 | 2015-09-16 |
| Find all providers in WAILUKU | ||||
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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.