NPIMap

Organization Active NPI

Salt Lake Family Dentistry

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1053757807
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT1944 Issued in HI
Legal business name
SALT LAKE FAMILY DENTISTRY
Practice address
905 C Makahiki Way
Honolulu, HI 96826
Phone
(808) 839-7209
Fax
(808) 836-7700
NPI assigned
May 21, 2013
Organization subpart
Yes
Parent organization
SALT LAKE FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Cheryl Tamanaha
Title
Owner
Phone
(808) 839-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DT1944 HI Primary

Addresses

Primary practice location

905 C Makahiki Way
Honolulu, HI 96826

Mailing address

905 C Makahiki Way
Honolulu, HI 96826
Phone (808) 839-7209

National Provider Directory

National Provider Directory
Tax ID family
Salt Lake Family Dentistry2 organizations share this tax ID, including this one
Part of
Salt Lake Family Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

905 Makahiki Way
Unit C
Honolulu, HI 96826
Phone (808) 839-7209

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1053757807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 C MAKAHIKI WAY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-839-7209",
            "fax_number": "808-836-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 C MAKAHIKI WAY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-839-7209",
            "fax_number": "808-836-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALT LAKE FAMILY DENTISTRY",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "TAMANAHA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-839-7209"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT1944",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 21, 2013; 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.