Organization Active NPI

David E Lum DDS LLC

  • Dental Clinic/Center
  • Mililani, HI
National Provider Identifier
1164790812
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DT-2314 Issued in HI
Legal business name
DAVID E LUM DDS LLC
Practice address
95-1099 Ainamakua Dr
Ste 3
Mililani, HI 96789-4298
Phone
(808) 623-2871
Fax
(808) 625-8739
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. David E Lum, DDSNPI 1689840365
Title
Member
Phone
(808) 623-2871

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
Dental Clinic/Center 261QD0000X DT-2314 HI Primary

Addresses

Primary practice location

95-1099 Ainamakua Dr
Ste 3
Mililani, HI 96789-4298

Mailing address

95-1099 Ainamakua Dr
Ste 3
Mililani, HI 96789-4298
Phone (808) 623-2871

National Provider Directory

National Provider Directory

Locations

95-1099 Ainamakua Dr
Ste 3
Mililani, HI 96789
Phone (808) 623-2871

Practitioners & affiliated clinicians

Practitioners 3

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1164790812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1099 AINAMAKUA DR",
            "address_2": "STE 3",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967894298",
            "telephone_number": "808-623-2871",
            "fax_number": "808-625-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1099 AINAMAKUA DR",
            "address_2": "STE 3",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967894298",
            "telephone_number": "808-623-2871",
            "fax_number": "808-625-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E LUM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-623-2871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "DT-2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.