Active NPI
Pattie Lucas Perez, RDH
- Dental Hygienist
- Honolulu, HI
National Provider Identifier
1013072826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3159
- Practice address
- 400 Sand Island Access Rd
Honolulu, HI 96819 - Phone
- (808) 842-2930
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3159 | NC | Primary |
Addresses
Primary practice location
400 Sand Island Access Rd
Honolulu, HI 96819
Mailing address
91-784 Launahele St
Ewa Beach, HI 96706-4755
Phone (808) 685-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3159 | Other | NC | HYGIENE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3159 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013072826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-784 LAUNAHELE ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967064755",
"telephone_number": "808-685-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAND ISLAND ACCESS RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "808-842-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "PATTIE",
"middle_name": "LUCAS",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "3159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HYGIENE LICENSE",
"identifier": "3159",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.