Hawaii Elite Oms LLC
NPI 1114816105ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Honolulu, HI
Dentist, Oral and Maxillofacial Surgery in Honolulu, Hawaii, registered in NPPES in July 2025. The authorized official on file is Katie Tunder, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114816105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2025 |
| Last updated in NPPES | Jul 2, 2025 |
| Certified by provider | Jul 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (HI) |
|---|
Other Dentist, Oral and Maxillofacial Surgery providers in Honolulu
- 1740613108
- 1659544831
- 1174663959
- 1366506248
- 1053545756
- 1952941817
- 1962617597
- 1336515592
- 1518986579
- 1225619505
- 1528201274
- 1043367642
All Dentist, Oral and Maxillofacial Surgery providers in Hawaii →