Organization Active NPI

Aiea Pediatric Dental Center

  • Pediatric Dentistry
  • Aiea, HI
National Provider Identifier
1245474071
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2313 Issued in HI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.