SMILES FOR KEIKI PEDIATRIC DENTISTRY, LLC (NPI# 1043744170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043744170 |
| Entity Type | Organization |
| Organization Name | SMILES FOR KEIKI PEDIATRIC DENTISTRY, LLC |
| Practice Address |
77-135 Kalaniuka St Holualoa HI 96725-9729 |
| Practice Telephone | 9515437439 |
| Mailing Telephone | 9515437439 |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |
| Authorized Official Name | DR. AUDREY NAVARRO RAWSON (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9515437439 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DT-2646 | HI | Dental Providers |
| Street Address |
77-135 KALANIUKA ST |
| City | HOLUALOA |
| State | HI |
| Zip Code | 96725-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234175 | Andrea Pro | Behavior Technician | 78-6585 Mamalahoa Highway, Holualoa, HI 96725 | 2020-01-16 |
| 1598277329 | Kai Mcbride Lmft | Community/Behavioral Health | 79 7199 Mamalahoa Highway, Apt C121, Holualoa, HI 96725 | 2017-11-02 |
| 1497127559 | Denice M. Murphy | Acupuncturist | 76-5914 Mamalahoa, Holualoa, HI 96725 | 2015-10-28 |
| 1255735262 | Lola Ching | Massage Therapist | 77-925 Waiaea Rd, Holualoa, HI 96725 | 2014-10-20 |
| 1811204373 | Judy A Johnson | Social Worker | 75-5914 Mamalahoa Hwy, Holualoa, HI 96725 | 2010-09-07 |
| 1972666105 | Hawken Shields | Psychologist | 76-5914 Mamalahoa Hwy, Holualoa, HI 96725 | 2006-12-19 |
| 1356515191 | Jennifer Benner | Acupuncturist | 76-5914 Mamalahoa Hwy, Holualoa, HI 96725 | 2008-04-14 |
| 1649494212 | Joseph Kassel | Acupuncturist | 74-4927b Mamalahoa Highway, Holualoa, HI 96725-0400 | 2007-04-12 |
| 1811374556 | Karina Summer | Counselor | 78-7047 Mana Opelu Ln, Holualoa, HI 96725-8709 | 2015-05-01 |
| 1811343510 | Dr Jessica Barreto | Chiropractor | 75-5526 Kealia St, Holualoa, HI 96725-9613 | 2016-05-11 |
| Find all providers in zip 96725 | ||||
| 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 |
|---|---|---|---|---|
| 1598304198 | Malama Dental 4 Kids, LLC | Dentist | 275 Ponahawai St Ste 204, Hilo, HI 96720-3074 | 2019-12-30 |
| 1518457001 | William Jeffrey Keeton | Dentist | 75-1028 Henry St Ste 102, Kailua Kona, HI 96740-1693 | 2018-05-10 |
| 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 |
| 1861734774 | Thomas Matthew Griffith | Dentist | 2530 Kilauea Ave, Hilo, HI 96720-5613 | 2013-03-19 |
| 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 |
| 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.