Active NPI
Aiea Pediatric Dental Center
- Pediatric Dentistry
- Aiea, HI
National Provider Identifier
1245474071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2313
- Legal business name
- AIEA PEDIATRIC DENTAL CENTER
- Practice address
- 98-150 Kaonohi St
Suite C-207
Aiea, HI 96701-5047 - Phone
- (808) 488-0100
- Fax
- (808) 488-0110
- NPI assigned
- Apr 23, 2009
- Last updated
- Apr 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Dayna Perreira
- Title
- Office Manager
- Phone
- (808) 488-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2313 | HI | Primary |
Addresses
Primary practice location
98-150 Kaonohi St
Suite C-207
Aiea, HI 96701-5047
Mailing address
98-150 Kaonohi St
Suite C-207
Aiea, HI 96701-5047
Phone (808) 488-0100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240444800000",
"number": "1245474071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-150 KAONOHI ST",
"address_2": "SUITE C-207",
"city": "AIEA",
"state": "HI",
"postal_code": "967015047",
"telephone_number": "808-488-0100",
"fax_number": "808-488-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-150 KAONOHI ST",
"address_2": "SUITE C-207",
"city": "AIEA",
"state": "HI",
"postal_code": "967015047",
"telephone_number": "808-488-0100",
"fax_number": "808-488-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIEA PEDIATRIC DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-23",
"last_updated": "2009-04-23",
"status": "A",
"authorized_official_last_name": "PERREIRA",
"authorized_official_first_name": "DAYNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "808-488-0100",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "HI",
"license": "2313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.