Organization Active NPI

Special Care Dentistry, LLC

  • Dentist
  • Kihei, HI
National Provider Identifier
1285948059
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT2386 Issued in HI
Legal business name
SPECIAL CARE DENTISTRY, LLC
Practice address
56 Ehiku Loop Ste 2
Kihei, HI 96753-5612
Phone
(808) 633-6931
Fax
(888) 222-3530
NPI assigned
Aug 3, 2010
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Sonia Gupta, D.D.S.NPI 1306086715
Title
Dentist
Phone
(808) 633-6931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT2386 HI Primary

Addresses

Primary practice location

56 Ehiku Loop Ste 2
Kihei, HI 96753-5612

Mailing address

PO Box 539
Kihei, HI 96753-0539
Phone (808) 633-6931

Other identifiers 1

IdentifierTypeStateIssuer
643115MedicaidHI

National Provider Directory

National Provider Directory

Locations

56 Ehiku Loop
Ste 2
Kihei, HI 96753
Phone (808) 633-6931

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1285948059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967530539",
            "telephone_number": "808-633-6931",
            "fax_number": "888-222-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EHIKU LOOP STE 2",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535612",
            "telephone_number": "808-633-6931",
            "fax_number": "888-222-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-633-6931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643115",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.