NICHOLAS DELISLE DMD
NPI 1073963385
Dentist - Pediatric Dentistry in Kailua-kona, HI

Active since June 17, 2016
74-5214 KKEANALEHU DR, KAILUA-KONA, HI 96740(808) 353-5650 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Jun 17, 2016 (2 updates tracked since 2016).

About Nicholas Delisle Dmd NPPES

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

NICHOLAS DELISLE DMD (NPI 1073963385) is an individual pediatric dentistry provider in Kailua-kona, Hawaii, licensed in Hawaii (3084) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1073963385
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameNICHOLAS DELISLECredential: DMD
Location Address74-5214 KKEANALEHU DRKailua-kona, HI 96740
Mailing Address4800 4th Way SwOlympia, WA 98502-2683 · (702) 624-5850
Sole ProprietorYes
Enumeration DateJune 17, 2016
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 29, 2023
NPI 1073963385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in HI · 3084
Definition
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.
74-5214 KKEANALEHU DR, Kailua-kona, HI 96740

Accepted Insurance

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 Nicholas Delisle's NPI number?

The NPI number for Nicholas Delisle is 1073963385. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Nicholas Delisle located?

Nicholas Delisle practices at 74-5214 Kkeanalehu Dr, Kailua-Kona, HI 96740. The listed phone number is (808) 353-5650.

What is Nicholas Delisle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Nicholas Delisle accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Nicholas Delisle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Delisle was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.