Active NPI
Jessica Rose Vo, DMD
- Dentist
- Pearl City, HI
National Provider Identifier
1023687324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-2909
- Practice address
- 98-1268 Kaahumanu St
Pearl City, HI 96782-3257 - Phone
- (808) 486-4746
- NPI assigned
- Jun 21, 2021
- Last updated
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT-2909 | HI | Primary |
| General Practice Dentistry | 1223G0001X | DT-2909 | HI |
Addresses
Primary practice location
98-1268 Kaahumanu St
Pearl City, HI 96782-3257
Mailing address
2525 Date St Apt 2103
Honolulu, HI 96826-5413
Phone (808) 693-5824
Other practice location 1
1401 S Beretania St Ste 470
Honolulu, HI 96814-1872
Phone (808) 732-0291
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 |
|---|---|---|---|
| DT-2909 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1023687324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 DATE ST APT 2103",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968265413",
"telephone_number": "808-693-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1268 KAAHUMANU ST",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823257",
"telephone_number": "808-486-4746"
}
],
"practiceLocations": [
{
"address_1": "1401 S Beretania St Ste 470",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968141872",
"country_code": "US",
"telephone_number": "808-732-0291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VO",
"first_name": "JESSICA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT-2909",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-2909",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl City, HI
- Krystle Lane Valencia, LDO
- Bora Van Brocklyn
- Sharon F. Vidal, L.M.T.
- Nora L Viernes, LPN
- Beverly Viola
- Teresa Hien Vo, D.O.
- Waianae District Comprehensive Health and Hospital Board, Incorporated
- Wal-Mart Stores, Inc (Vision Center 30-5274)
- Walk & Roll Physical Therapy LLC
- Walk & Roll Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.