Maemerita B San Diego, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-2335 Issued in HI

Practice address

2024 N King St Ste 101a
Honolulu, HI 96819-3470

Phone

(808) 597-8057

NPI assigned

Aug 29, 2008

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ma Emerita B San Diego Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Diego Family Dentistry , Inc

  • General Practice Dentistry
  • Honolulu, HI
  • NPI 1669702619
  Authorized official Same address or phone
• Hawaii Dental Group, Inc.

  dba Hawaii Family Dental Centers-Westridge

  • General Practice Dentistry
  • Aiea, HI
  • NPI 1295043016
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1235387499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N KING ST STE 101A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-597-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N KING ST STE 101A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-597-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN DIEGO",
        "first_name": "MAEMERITA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA EMERITA",
            "last_name": "SAN DIEGO",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Justan Samson, NBHWC
• Leah Samson, COMS
• Samuel C H Lo MD & Jonathan Lo MD a Prof Corp (Laser and Eye Surgery Center)
• Martha Machel Samuel
• San Diego Family Dentistry , Inc
• San Miguel Endocrine, Inc
• Ray Vicente San Nicolas, PT, DPT
• Rocio Maricela Sanchez Guzman
• Sanchez Prime Care PC
• Cassandra L. Sanchez, M.D.

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.