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

NPI Status: Active since May 21, 2009

Contact Information

65-1230 MAMALAHOA HWY
C10-12
KAMUELA, HI
ZIP 96743
Phone: (808) 885-9000

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 12D2198504
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 11-01-2026

About KONA CENTER OF FACIAL SURGERY

This page provides the complete NPI Profile along with additional information for Kona Center Of Facial Surgery, a provider established in Kamuela, Hawaii operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1063647931 assigned on May 2009. The practitioner's primary taxonomy code is 1223S0112X with license number DT1813 (HI). The provider is registered as an organization and their NPI record was last updated 17 years ago. Kona Center Of Facial Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Joan M Greco Dds (President/owner)

NPI
1063647931
Provider Name
KONA CENTER OF FACIAL SURGERY
Entity Type
Organization
Location Address
65-1230 MAMALAHOA HWY C10-12 KAMUELA, HI 96743
Location Phone
(808) 885-9000
Mailing Address
65-1230 MAMALAHOA HWY C10-12 KAMUELA, HI 96743
Mailing Phone
(808) 885-9000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2009
Last Update Date
05-21-2009
Code Navigator

A dentist like Kona Center Of Facial Surgery is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
DT1813
License State
HI
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOAN M GRECO DDS

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(808) 885-9000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U52737MEDICARE UPIN (02) 
03442901MEDICAID (05)HI 
38042OTHER (01)HIHAWAII MEDICAL SERVICE ASSOCIATION

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D2198504
Facility Type
Practitioner Other
Certificate Effective Date
November 02, 2024
Certificate Expiration Date
November 01, 2026
Laboratory Director
JOAN GRECO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kona Center Of Facial Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063647931, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 1 + 4 + 9 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063647931.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Physical Therapist
65-1230 MAMALAHOA HWY, HAWAIIAN REHABILITATION SERVICES INC SUITE E-11
KAMUELA, HI 96743
Internal Medicine (Rheumatology)
65-1230 MAMALAHOA HWY, SUITE C21
KAMUELA, HI 96743
Orthopaedic Surgery
65-1230 MAMALAHOA HWY, SUITE C-14
KAMUELA, HI 96743
Non-Pharmacy Dispensing Site
65-1230 MAMALAHOA HWY, E-21
KAMUELA, HI 96743
Community/Behavioral Health
65-1230 MAMALAHOA HWY, SUITE A-11-HAWAII FGC-WAIMEA
KAMUELA, HI 96743
Physical Therapist
65-1230 MAMALAHOA HWY
KAMUELA, HI 96743
Physical Therapist
65-1230 MAMALAHOA HWY, E 11
KAMUELA, HI 96743
Contractor
65-1230 MAMALAHOA HWY, SUITE E11
KAMUELA, HI 96743
Internal Medicine (Cardiovascular Disease)
65-1230 MAMALAHOA HWY, SUITE D10
KAMUELA, HI 96743
Internal Medicine (Cardiovascular Disease)
65-1230 MAMALAHOA HWY
KAMUELA, HI 96743
Clinic/Center (Adult Mental Health)
65-1230 MAMALAHOA HWY, STE D21
KAMUELA, HI 96743
Social Worker (Clinical)
65-1230 MAMALAHOA HWY
KAMUELA, HI 96743

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063647931, enumerated as an "organization" on May 21, 2009.

The provider is located at 65-1230 MAMALAHOA HWY C10-12 KAMUELA, HI 96743 and the phone number is (808) 885-9000.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.