DR. BREN MATTHEW CHUN (NPI# 1841579158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841579158 |
| Entity Type | Individual |
| Full Name | DR. BREN MATTHEW CHUN |
| Credential | D.D.S. |
| Practice Address |
642 Ulukahiki St Ste 308 Kailua HI 96734-4439 |
| Practice Telephone | 8082615354 |
| Mailing Telephone | 8082615354 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 57772 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DT-2457 | HI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 911 Medical Center Plz, Suite #13, Windsor, CA 954927815 | 7078386698 |
| Street Address |
642 ULUKAHIKI ST STE 308 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922337765 | Howard Y Kim Dds Inc | Dentist | 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 | 2009-12-07 |
| 1598094047 | Maile S.c. Kim | Dentist | 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 | 2009-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| 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 |
|---|---|---|---|---|
| 1922337765 | Howard Y Kim Dds Inc | Dentist | 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 | 2009-12-07 |
| 1598094047 | Maile S.c. Kim | Dentist | 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 | 2009-12-11 |
| 1649353145 | Norman Samuel Chun | Dentist | 444 Uluniu St, Kailua, HI 96734-2517 | 2006-10-20 |
| 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 |
| 1043744170 | Smiles for Keiki Pediatric Dentistry, LLC | Dentist | 77-135 Kalaniuka St, Holualoa, HI 96725-9729 | 2017-04-15 |
| 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 |
| 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.