1. Home
  2. Directory
  3. Hawaii
  4. Kamuela
  5. Dentist
  6. NPI Profile

KONA CENTER OF FACIAL SURGERY
NPI 1063647931
Dentist - Oral and Maxillofacial Surgery in Kamuela, HI

Active since May 21, 2009CLIA 12D2198504 · Waiver
65-1230 MAMALAHOA HWY, C10-12, KAMUELA, HI 96743(808) 885-9000 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kona Center Of Facial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONA CENTER OF FACIAL SURGERY (NPI 1063647931) is a healthcare organization registered as an oral and maxillofacial surgery in Kamuela, Hawaii and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Joan M Greco, President/owner, as its authorized official.

NPPES Registry Identity

NPI1063647931
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKONA CENTER OF FACIAL SURGERY
Location Address65-1230 MAMALAHOA HWY, C10-12Kamuela, HI 96743-8318
Mailing Address65-1230 Mamalahoa Hwy, C10-12Kamuela, HI 96743-8318 · (808) 885-9000
Phone(808) 885-9000
Organization SubpartNo
Authorized OfficialJoan M GrecoPresident/owner · (808) 885-9000
Enumeration DateMay 21, 2009
✔ NPI 1063647931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in HI · DT1813
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
65-1230 MAMALAHOA HWY, Kamuela, HI 96743
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINU52737
Medicaid03442901HI
Other38042HI · Hawaii Medical Service Association

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2198504

Kona Center Of Facial Surgery · Kamuela, HI
Active · expires Nov 1, 2026
CLIA Number12D2198504
Laboratory TypePractitioner Other
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorJoan Greco
Laboratory Phone(808) 885-9000
Laboratory LocationKona Center Of Facial Surgery65-1230 Mamalahoa Hwy, Ste C-10, Kamuela, HI 96743
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIG ISLAND PSYCHIATRY LLC
Clinic/Center (Adult Mental Health)
65-1230 MAMALAHOA HWY, STE D21
KAMUELA, HI 96743
Hawaii County (253) 678-5715
HILLER ORTHOPEDICS
Orthopaedic Surgery
65-1230 MAMALAHOA HWY, SUITE C-14
KAMUELA, HI 96743
Hawaii County (808) 885-5588
MADELINE SOFRANAC
Physical Therapist
65-1230 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 329-0591
DR. KELLY MARI WACHI M.D.
Internal Medicine (Rheumatology)
65-1230 MAMALAHOA HWY, SUITE C21
KAMUELA, HI 96743
Hawaii County (808) 887-0033
MISS GAIL DENLEY EMERSON PT
Physical Therapist
65-1230 MAMALAHOA HWY, HAWAIIAN REHABILITATION SERVICES INC SUITE E-11
KAMUELA, HI 96743
Hawaii County (808) 885-7131
DR. NEAL J SHIKUMA M.D., FACC
Internal Medicine (Cardiovascular Disease)
65-1230 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 887-6410
DR. THOMAS ROGERS THORNTON
Physical Therapist
65-1230 MAMALAHOA HWY, E 11
KAMUELA, HI 96743
Hawaii County (808) 885-7131
MS. CATHERINE ALICE HART LISW
Social Worker (Clinical)
65-1230 MAMALAHOA HWY
KAMUELA, HI 96743
Hawaii County (808) 767-3084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kona Center Of Facial Surgery's NPI number?

The NPI number for Kona Center Of Facial Surgery is 1063647931. It was assigned to this organization in the NPPES registry on May 21, 2009.

Where is Kona Center Of Facial Surgery located?

Kona Center Of Facial Surgery is located at 65-1230 Mamalahoa Hwy C10-12, Kamuela, HI 96743. The listed phone number is (808) 885-9000.

What is Kona Center Of Facial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Kona Center Of Facial Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2198504) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kona Center Of Facial Surgery was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.