DR. KELLY KAWAHARA DMD
NPI 1609929710
Dentist in Wailuku, HI

Active since January 19, 2007PECOS Enrolled
54 MAUI LANI PKWY, SUITE 2020, WAILUKU, HI 96793(808) 756-9161 Get Directions Write a Review

NPPES record last updated: October 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Kawahara Dmd NPPES

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

DR. KELLY KAWAHARA DMD (NPI 1609929710) is an individual dentist in Wailuku, Hawaii, licensed in Hawaii (DT-2141) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609929710
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELLY KAWAHARACredential: DMD
Location Address54 MAUI LANI PKWY, SUITE 2020Wailuku, HI 96793-2467
Mailing Address54 Maui Lani Pkwy, Suite 2020Wailuku, HI 96793-2467 · (808) 756-9161
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateOctober 2, 2015
NPI 1609929710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in HI · DT-2141
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
54 MAUI LANI PKWY, Wailuku, HI 96793

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kelly Kawahara Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Occupational Therapist
54 MAUI LANI PKWY
WAILUKU, HI 96793
Dentist
54 MAUI LANI PKWY, SUITE 2020
WAILUKU, HI 96793
Dentist
54 MAUI LANI PKWY, SUITE 2020
WAILUKU, HI 96793
Physical Therapist
54 MAUI LANI PKWY
WAILUKU, HI 96793
Physical Therapist
54 MAUI LANI PKWY
WAILUKU, HI 96793
Occupational Therapist
54 MAUI LANI PKWY
WAILUKU, HI 96793

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 Kelly Kawahara's NPI number?

The NPI number for Kelly Kawahara is 1609929710. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Kelly Kawahara located?

Kelly Kawahara practices at 54 Maui Lani Pkwy Suite 2020, Wailuku, HI 96793. The listed phone number is (808) 756-9161.

What is Kelly Kawahara's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Kawahara enrolled in Medicare?

Yes. Kelly Kawahara is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Kawahara accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Kelly Kawahara 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 Kelly Kawahara was last updated on October 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.