Organization Active NPI

Regala & Su, DDS, LLC

  • General Practice Dentistry
  • Aiea, HI
National Provider Identifier
1023387073
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1950 Issued in HI
Legal business name
REGALA & SU, DDS, LLC
Practice address
99-128 Aiea Heights Dr Ste 602
Aiea, HI 96701-3939
Phone
(808) 488-1900
Fax
(808) 487-8998
NPI assigned
Dec 20, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arleen G.a. Regala, DDSNPI 1700826484
Title
Partner
Phone
(808) 488-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1921 HI
General Practice Dentistry 1223G0001X 1950 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr Ste 602
Aiea, HI 96701-3939

Mailing address

99-128 Aiea Heights Dr Ste 602
Aiea, HI 96701-3939
Phone (808) 488-1900

Other identifiers 1

IdentifierTypeStateIssuer
50573701MedicaidHI

National Provider Directory

National Provider Directory

Locations

99-128 Aiea Heights Dr
Ste 602
Aiea, HI 96701
Phone (808) 488-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1023387073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 602",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013939",
            "telephone_number": "808-488-1900",
            "fax_number": "808-487-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 602",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013939",
            "telephone_number": "808-488-1900",
            "fax_number": "808-487-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGALA & SU, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "REGALA",
        "authorized_official_first_name": "ARLEEN",
        "authorized_official_middle_name": "G.A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "808-488-1900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50573701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.