Active NPI
Terri J.Y.H. Andrade, D.D.S.
- Dentist
- Waipahu, HI
National Provider Identifier
1255348165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-1821
- Practice address
- 94-239 Waipahu Depot St Ste 208
Waipahu, HI 96797-3056 - Phone
- (808) 671-8784
- Fax
- (808) 671-8784
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT-1821 | HI | Primary |
Addresses
Primary practice location
94-239 Waipahu Depot St Ste 208
Waipahu, HI 96797-3056
Mailing address
94-239 Waipahu Depot St Ste 208
Waipahu, HI 96797-3056
Phone (808) 671-8784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150720003160 | HI | Order and Referring Only - Dentist | 3971816968 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-1821 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terri Andrade, DDS | Current | Accepting new patients |
Locations
94-239 Waipahu Depot St
Ste 208
Waipahu, HI 96797
Phone (808) 671-8784
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Waipahu, HI
- NPI 1780174805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255348165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-239 WAIPAHU DEPOT ST STE 208",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973056",
"telephone_number": "808-671-8784",
"fax_number": "808-671-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-239 WAIPAHU DEPOT ST STE 208",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973056",
"telephone_number": "808-671-8784",
"fax_number": "808-671-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "TERRI",
"middle_name": "J.Y.H.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT-1821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.