Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225648322 Individual Practitioner Female Practitioner

Kimberly Amanda Kaneshiro

Dentist • Tamuning, GU

Professional Overview & Biography Verified Profile Summary

Kimberly Kaneshiro is a registered healthcare professional specializing in Dentist in Tamuning, GU. Practice services are available at 667 N MARINE CORPS DR STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

667 N Marine Corps Dr Ste 204

Tamuning, GU 969134429

Telephone 6716463679

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tamuning, GU

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Tamuning, GU (26 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GU D1043

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License VA 0442000414

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.

Secondary Practice Locations

520 N 12th St

Richmond, VA 232985064

Phone: 8048289190

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Stanley Yasuhiro , DDS

Dentist - General Practice

NPI 1598903023

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 14, 2021

Registered at 667 N MARINE CORPS DR STE 204, TAMUNING, GU 969134429 (Tel: 6716463679)

📍
Updated Business Mailing Address September 14, 2021

Registered at PO BOX 26409, BARRIGADA, GU 969216409 (Tel: 6716838022)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Dentist (License #D1043 in GU)

NPI Profile Active August 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2020

Registered at 520 N 12TH ST, RICHMOND, VA 232985064 (Tel: 8048289190)

📍
Updated Business Mailing Address August 04, 2020

Registered at 7 N 8TH ST APT 720, RICHMOND, VA 232193322 (Tel: 8086838022)

👤
Provider Name / Credentials Updated August 04, 2020

Recorded as KIMBERLY KANESHIRO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2020

Dentist (License #0442000414 in VA)

🟢
Initial NPI Registration & Enumeration August 04, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225648322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2020
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

Po Box 26409

Barrigada, GU 969216409

Phone: 6716838022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.