HAWAII DENTAL GROUP, INC. (NPI# 1780992503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780992503 |
| Entity Type | Organization |
| Organization Name | HAWAII DENTAL GROUP, INC. |
| Other Organization Name | HAWAII FAMILY DENTAL CENTERS-WAIKOLOA |
| Practice Address |
68-1845 Waikoloa Rd Suite 205 Waikoloa HI 96738-5584 |
| Mailing Address |
500 Ala Moana Blvd Suite 7-220 Honolulu HI 96813-4920 |
| Practice Telephone | 8088839100 |
| Practice Fax Number | 8088831469 |
| Mailing Telephone | 8085233103 |
| Mailing Fax Number | 8085233122 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | DR. GARY KONDO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8085233103 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII DENTAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Hawaii Family Dental Centers-Waikoloa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275841025 | Hawaii Dental Group, Inc. | Dentist | 500 Ala Moana Blvd, Suite 7-300, Honolulu, HI 96813-4920 | 2010-09-15 |
| 1497063226 | Hawaii Dental Group, Inc. | Dentist | 400 Hualani St, Bldg. 9, Suite 192, Hilo, HI 96720-4378 | 2010-09-14 |
| 1609184423 | Hawaii Dental Group, Inc. | Dentist | 95 Lono Ave, Suite 210, Kahului, HI 96732-1610 | 2010-09-14 |
| 1699083410 | Hawaii Dental Group, Inc. | Dentist | 4473 Pahee St, Suite K, Lihue, HI 96766-2037 | 2010-09-14 |
| 1477861292 | Hawaii Dental Group, Inc. | Dentist | 95-720 Lanikuhana Ave, Suite 270, Mililani, HI 96789-2985 | 2010-09-14 |
| 1558679373 | Hawaii Dental Group, Inc. | Dentist | 46-056 Kamehameha Hwy, Suite 288, Kaneohe, HI 96744-3755 | 2010-09-14 |
| 1356659171 | Hawaii Dental Group, Inc. | Dentist | 1847 S Kihei Rd, Suite 101, Kihei, HI 96753-7939 | 2010-09-14 |
| 1295043016 | Hawaii Dental Group, Inc. | Dentist | 98-150 Kaonohi St, Suite C-201, Aiea, HI 96701-5047 | 2010-09-14 |
| 1689982407 | Hawaii Dental Group, Inc. | Dentist | 75-1028 Henry St, Suite 102, Kailua Kona, HI 96740-1693 | 2010-09-14 |
| 1205992922 | Hawaii Dental Group, Inc. | Dentist | 500 Ala Moana Blvd, Suite 7-220, Honolulu, HI 96813-4920 | 2006-12-28 |
| Street Address |
68-1845 WAIKOLOA RD SUITE 205 |
| City | WAIKOLOA |
| State | HI |
| Zip Code | 96738-5584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811199417 | Susannah Kerr Mistr | Ophthalmology | 68-1845 Waikoloa Rd, Suite 218, Waikoloa, HI 96738-5584 | 2007-06-05 |
| 1891147260 | Shawna Gordon | Specialist | 68-1845 Waikoloa Rd, 201, Waikoloa, HI 96738-5584 | 2016-07-08 |
| 1720458847 | Cara Larsen | Specialist | 68-1845 Waikoloa Rd, Waikoloa, HI 96738-5584 | 2015-10-01 |
| 1093104374 | Io Eye Center LLC | Ophthalmology | 68-1845 Waikoloa Rd, Suite 218, Waikoloa, HI 96738-5584 | 2015-01-09 |
| 1417362922 | Tasha Aipa | Contractor | 68-1845 Waikoloa Rd, Ste 201, Waikoloa, HI 96738-5584 | 2014-06-23 |
| 1386907376 | Carl D Langan | Specialist | 68-1845 Waikoloa Rd, Suite 106, Pmb 201, Waikoloa, HI 96738-5584 | 2012-06-25 |
| 1457679326 | Erica Giao Davis | Massage Therapist | 68-1845 Waikoloa Rd, Unit 201 B, Waikoloa, HI 96738-5584 | 2010-05-17 |
| 1427222660 | Lynn Puana | Internal Medicine | 68-1845 Waikoloa Rd, Suite 207, Waikoloa, HI 96738-5584 | 2008-04-18 |
| 1154509578 | Shanon Lee Sidell | Acupuncturist | 68-1845 Waikoloa Rd, Suite #201, Waikoloa, HI 96738-5584 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730797 | Elevation Medical Imaging Hawaii LLC | Radiology | 68-1820 Waikoloa Rd Ste M101m102, Waikoloa, HI 96738 | 2020-11-02 |
| 1962846063 | Puna Plantation Hawaii, Ltd | Pharmacy | 68-3916 Paniolo Ave, Waikoloa, HI 96738 | 2013-04-19 |
| 1700099751 | Monica Litzinger | Pharmacist | 68-1842 Kehela Place, Waikoloa, HI 96738 | 2007-05-07 |
| 1073674602 | Lokahi Treatment Centers | Counselor | 68-1845 Waikoloa Road, Waikoloa Highlands Shopping Center Suite 224b, Waikoloa, HI 96738 | 2006-12-13 |
| 1023108974 | Michael Hart Plumer | Anesthesiology | 68-1866 West Kaupapa Place, Waikoloa, HI 96738 | 2006-10-13 |
| 1366430472 | Melissa Lane Thompson | Anesthesiology | 68-1602 Laie St, Waikoloa, HI 96738 | 2005-10-12 |
| 1376046979 | Susan Strommer | Dentist | 68-1845 Waikoloa Rd Ste 205, Waikoloa, HI 96738 | 2018-03-10 |
| 1760869622 | Diana T Do | Dentist | 68-1845 Waikoloa Rd Ste 205, Waikoloa, HI 96738 | 2015-04-29 |
| 1912110958 | Mark Litzinger | Pharmacist | 68-1842 Kehela Place, Waikoloa, HI 96738 | 2007-05-07 |
| 1497159743 | Gina Bonn | Counselor | 68-3879 Holoimua Place, Waikoloa, HI 96738-0138 | 2014-10-15 |
| Find all providers in zip 96738 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003228982 | Waikoloa Dental Clinic Inc | Dentist | 69-201 Waikoloa Beach Dr Ste 2615, Waikoloa, HI 96738-5815 | 2014-05-27 |
| 1336213719 | Craig G Fostvedt | Dentist | 69-201 Waikoloa Beach Dr, Suite 2615, Waikoloa, HI 96738-5810 | 2006-11-20 |
| 1760869622 | Diana T Do | Dentist | 68-1845 Waikoloa Rd Ste 205, Waikoloa, HI 96738 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184259392 | Lahaina Smiles Dental Group LLC | Dentist | 154 Papalaua St # 200, Lahaina, HI 96761-1616 | 2020-03-09 |
| 1265078349 | Caitlin L Armstrong | Dentist | 46-056 Kamehameha Hwy Ste 288, Kaneohe, HI 96744-6709 | 2019-11-22 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1154964724 | Tracy Lauren Lau | Dentist | 803 Kamehameha Hwy Ste 300, Pearl City, HI 96782-2638 | 2019-10-25 |
| 1366093197 | Matthew Takashi Oda | Dentist | 91-791 Papipi Rd Rm 1, Ewa Beach, HI 96706-2456 | 2019-09-23 |
| 1053966689 | West Kauai Dental LLC | Dentist | 3490 Hanapepe Rd, Hanapepe, HI 96716 | 2019-08-09 |
| 1427602663 | Lahaina Dental Group, LLC | Dentist | 845 Wainee St Ste 206, Lahaina, HI 96761-1688 | 2019-07-26 |
| 1730731662 | Shea Scott Shimabukuro | Dentist | 2-2389 Kaumualii Highway, Kalaheo, HI 96741 | 2019-07-11 |
| 1184286080 | Shaileen Mei Yee Araki | Dentist | 91-1001 Kaimalie St Ste 203, Ewa Beach, HI 96706-6247 | 2019-07-01 |
| 1114402526 | Norman Sm Cheung Dds LLC | Dentist | 94-239 Waipahu Depot St Ste 212, Waipahu, HI 96797-3056 | 2018-10-02 |
| 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.