BIG ISLAND SMILES ORTHODONTOCS LLC (NPI# 1760027288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760027288 |
| Entity Type | Organization |
| Organization Name | BIG ISLAND SMILES ORTHODONTOCS LLC |
| Practice Address |
76-6225 Kuakini Hwy Ste B101 Kailua Kona HI 96740-3223 |
| Mailing Address |
1330 Ala Moana Blvd Ste 302 Honolulu HI 96814-4263 |
| Practice Telephone | 8083267573 |
| Mailing Telephone | 8085930889 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | DR. WON CHAEKAL (OWNER) |
| Authorized Official Telephone | 8085930889 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1234 Kilauea Ave, Hilo, HI 967204282 | 8089615766 | |
| 65-1206 Mamalohoa Hwy., Waimea, HI 96743 | 8083267333 |
| Street Address |
76-6225 KUAKINI HWY STE B101 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 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 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 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 | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on BIG ISLAND SMILES ORTHODONTOCS 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.