Organization Active NPI

Dreamtect Dental LLC

  • General Practice Dentistry
  • Pearl City, HI
National Provider Identifier
1043848922
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DREAMTECT DENTAL LLC
Practice address
98-1256 Kaahumanu St Ste E303
Pearl City, HI 96782-3282
Phone
(808) 488-1988
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Dr. Blake Matsuura, DDSNPI 1487942678
Title
Dentist
Phone
(808) 286-6021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

98-1256 Kaahumanu St Ste E303
Pearl City, HI 96782-3282

Mailing address

98-600 Aloalii St
Aiea, HI 96701-2713
Phone (808) 286-6021

National Provider Directory

National Provider Directory

Locations

98-1256 Kaahumanu St
Ste E303
Pearl City, HI 96782
Phone (808) 488-1988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1043848922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-600 ALOALII ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012713",
            "telephone_number": "808-286-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1256 KAAHUMANU ST STE E303",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823282",
            "telephone_number": "808-488-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMTECT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "MATSUURA",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-286-6021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.