NPIMap

Organization Active NPI

Pearlridge Dental Care, LLC

  • General Practice Dentistry
  • Aiea, HI
National Provider Identifier
1255768255
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1943 Issued in HI
Legal business name
PEARLRIDGE DENTAL CARE, LLC
Practice address
98-1005 Moanalua Rd
Suite 2000
Aiea, HI 96701-4777
Phone
(808) 489-9530
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Jolie Nakagawa
Title
Operations Admin Assistant
Phone
(808) 489-9530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DT-1943 HI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DT-1943 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd
Suite 2000
Aiea, HI 96701-4777

Mailing address

98-1005 Moanalua Rd SPC 2000
Aiea, HI 96701-4700
Phone (808) 489-9530

Other names 1

  • Pearlridge Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

98-1005 Moanalua Rd
Spc 2000
Aiea, HI 96701
Phone (808) 358-2134

4211 Waialae Ave
Ste 111
Honolulu, HI 96816
Phone (808) 485-1177

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1255768255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 2000",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014700",
            "telephone_number": "808-489-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "address_2": "SUITE 2000",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014777",
            "telephone_number": "808-489-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLRIDGE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "NAKAGAWA",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "OPERATIONS ADMIN ASSISTANT",
        "authorized_official_telephone_number": "808-489-9530"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1943",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearlridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearlridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2022; 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.