NICS MANAGEMENT LLC (NPI# 1275081713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275081713 |
| Entity Type | Organization |
| Organization Name | NICS MANAGEMENT LLC |
| Other Organization Name | TOWN CENTER DENTAL & ORTHODONTICS |
| Practice Address |
95-720 Lanikuhana Ave Suite 210 Mililani HI 96789-2985 |
| Practice Telephone | 8086258899 |
| Mailing Telephone | 8086258899 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | WON CHAEKAL (OWNER) |
| Authorized Official Telephone | 8086258899 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DT1838 | HI | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DT1708 | HI | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DT1904 | HI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Town Center Dental & Orthodontics | Doing Business As Name - Organization |
| Street Address |
95-720 LANIKUHANA AVE SUITE 210 |
| City | MILILANI |
| State | HI |
| Zip Code | 96789-2985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783777 | Iris Y Kuwabara | Optometrist | 95-720 Lanikuhana Ave, Ste. 260, Mililani, HI 96789-2985 | 2005-07-13 |
| 1417494782 | Devyn Brubaker | Massage Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2017-01-25 |
| 1316499429 | Shawnte Warfield | Physical Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2016-10-25 |
| 1699228023 | Liza M Maciorowski | Physical Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2016-08-02 |
| 1437513819 | Tehani Moss | Massage Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2016-04-11 |
| 1023476165 | Nelson Yoshida | Massage Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2016-02-03 |
| 1477918605 | Mark Miki | Physical Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2015-12-14 |
| 1285006312 | Leah Elise Lagasse | Physical Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2015-10-28 |
| 1699153023 | Elena Andrie | Massage Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2015-05-18 |
| 1679964746 | Elizabeth Amadeo | Massage Therapist | 95-720 Lanikuhana Ave, Ste 140, Mililani, HI 96789-2985 | 2015-02-11 |
| Find all providers in the same location | ||||
| 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 |
| 1902443740 | Alisa Barnes | Behavior Technician | 100 Kahelu Avenue, Suite 112, Mililani, HI 96789 | 2019-11-27 |
| 1932758703 | Ashley Jones | Physical Therapist | 95 1053 Kuauli St., Apt 40, Mililani, HI 96789 | 2019-09-05 |
| 1902305428 | Novena Saguid Sanchez | Licensed Practical Nurse | 95-282 Kaaona Pl, Mililani, HI 96789 | 2018-02-10 |
| 1013433341 | Mililani Dental Inc. | Clinic/Center | 95-1249 Meheula Parkway, 138, Mililani, HI 96789 | 2017-08-18 |
| 1508314089 | Jaco Rehab Mililani LLC | Physical Therapist | 95-1105 Ainamakua Drive, Suite 203, Mililani, HI 96789 | 2016-09-14 |
| 1033665245 | Shelby Dell | Behavioral Analyst | 95-1018 Hoakua St, Mililani, HI 96789 | 2016-08-28 |
| 1528410289 | Margie Stercho Inc | Contractor | 95-174 Napehe Pl, Mililani, HI 96789 | 2016-07-06 |
| 1700205226 | Paul W. Dale | Psychiatry & Neurology | 95-107 Wekiu Pl., Mililani, HI 96789 | 2014-04-11 |
| 1184050536 | Jennifer L Newell | Marriage & Family Therapist | 95-955 Wikao St, Mililani, HI 96789 | 2013-09-17 |
| Find all providers in zip 96789 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144380700 | Carlton A. Shiraki | Dentist | 95-1249 Meheula Pkwy, Suite B-11, Mililani, HI 96789-1763 | 2006-12-12 |
| 1083643985 | Won Chaekal | Dentist | 95-1249 Meheula Pkwy, Suite A-12, Mililani, HI 96789-1779 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055568 | Dr. Aaron Miyai Dmd | Dentist | 4347 Rice St Ste 201, Lihue, HI 96766-1335 | 2018-12-18 |
| 1972075760 | Dr. Aaron Miyai Dmd | Dentist | 505 Front St Ste 202, Lahaina, HI 96761-1190 | 2018-12-18 |
| 1497227284 | Dr. Aaron Miyai Dmd | Dentist | 31 E Lanikaula St Ste A, Hilo, HI 96720-4362 | 2018-12-18 |
| 1114354917 | Grace Chen Dds LLC | Dentist | 31 E Lanikaula St Ste B, Hilo, HI 96720-4362 | 2013-10-11 |
| 1548590375 | Randal D. Morita, D.d.s., Inc. | Dentist | 98-1247 Kaahumanu St Ste 325, Aiea, HI 96701-5301 | 2009-12-29 |
| 1487888913 | Steven K. Sue | Dentist | 2065 S King St Ste 304, Honolulu, HI 96826-2225 | 2009-05-12 |
| 1255575395 | Rodney Harwood Jones | Dentist | 146 Clark Road, Bldg 339, Fort Shafter, HI 96858 | 2009-04-20 |
| 1760625149 | Erik K. Tinhan, M.a., D.d.s., Inc. | Dentist | 98-1247 Kaahumanu St Ste 319, Aiea, HI 96701-5301 | 2009-04-14 |
| 1710127618 | Lincoln Aketomo Furuya | Dentist | 46-005 Kawa St., Suite 204, Kaneohe, HI 96744-3812 | 2009-03-05 |
| 1104065085 | Keith A. Vodzak | Dentist | 377 Keahole St., Suite #211, Honolulu, HI 96825 | 2009-02-17 |
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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.