NPIMap

Organization Active NPI

Ericson H.L. NG, DDS,Inc.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1104159813
Registry record updated Sep 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1610 Issued in HI
Legal business name
ERICSON H.L. NG, DDS,INC.
Practice address
1741 Nuuanu Ave
Honolulu, HI 96817-3249
Phone
(808) 538-1207
NPI assigned
Sep 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2009

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

Authorized official

Name
Dr. Ericson NG, DDSNPI 1588730410
Title
President
Phone
(808) 538-1207

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1610 HI Primary

Addresses

Primary practice location

1741 Nuuanu Ave
Honolulu, HI 96817-3249

Mailing address

1741 Nuuanu Ave
Honolulu, HI 96817-3249
Phone (808) 538-1207

Other identifiers 1

IdentifierTypeStateIssuer
055835MedicaidHI

National Provider Directory

National Provider Directory

Locations

1741 Nuuanu Ave
Honolulu, HI 96817
Phone (808) 531-0448

Practitioners & affiliated clinicians

Practitioners 4

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": "1252800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252800000000",
    "number": "1104159813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173249",
            "telephone_number": "808-538-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173249",
            "telephone_number": "808-538-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICSON H.L. NG, DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-13",
        "last_updated": "2009-09-13",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "ERICSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-538-1207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055835",
            "state": "HI"
        }
    ],
    "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 Sep 13, 2009; 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.