Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134484009 Individual Practitioner Female Practitioner

Dr. Lisa Yukiko Shitamoto , DDS

Dentist - General Practice • Kahului, HI

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Shitamoto, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kahului, HI. Practice services are available at 141 MAA ST UNIT A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

141 Maa St Unit A

Kahului, HI 967323603

Telephone 8082426605
Fax 8082425819

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kahului, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Kahului, HI (740 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: 2022-12-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License HI 2477

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Leslie Arakaki , DDS

Dentist - General Practice

NPI 1427224476

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 15, 2022

Registered at 141 MAA ST UNIT A, KAHULUI, HI 967323603 (Tel: 8082426605)

📍
Updated Business Mailing Address December 15, 2022

Registered at 141 MAA ST UNIT A, KAHULUI, HI 967323603 (Tel: 8082426605)

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2017

Registered at 220 IMI KALA ST STE 102, WAILUKU, HI 967931209 (Tel: 8082426605)

📍
Updated Business Mailing Address December 11, 2017

Registered at 220 IMI KALA ST STE 102, WAILUKU, HI 967931209 (Tel: 8082426605)

👤
Provider Name / Credentials Updated December 11, 2017

Recorded as LISA SHITAMOTO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Dentist (License #2477 in HI)

NPI Profile Active June 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2014

Registered at 95 LONO AVE, SUITE 210, KAHULUI, HI 967321610 (Tel: 8088775328)

📍
Updated Business Mailing Address June 18, 2014

Registered at 500 ALA MOANA BLVD, SUITE 7-220, HONOLULU, HI 968134920 (Tel: 8085233103)

👤
Provider Name / Credentials Updated June 18, 2014

Recorded as LISA SHITAMOTO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2014

Dentist (License #2477 in HI)

🟢
Initial NPI Registration & Enumeration July 06, 2012

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: 1134484009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2012
Last Update: December 15, 2022
Sole Proprietor: Yes

Mailing Address

141 Maa St Unit A

Kahului, HI 967323603

Phone: 8082426605

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.