Janel Supnet Ancheta-Carroll, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DT-2079 Issued in HI

Practice address

98-1247 Kaahumanu St Ste 205
Ancheta Pediatric Dental LLC
Aiea, HI 96701-5310

Phone

(808) 487-1000

Fax

(808) 487-1004

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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.

• Ancheta Pediatric Dental LLC

  • Dental Clinic/Center
  • Aiea, HI
  • NPI 1891235560
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2017.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1336245992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 205",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-487-1000",
            "fax_number": "808-487-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 205",
            "address_2": "ANCHETA PEDIATRIC DENTAL LLC",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015310",
            "telephone_number": "808-487-1000",
            "fax_number": "808-487-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHETA-CARROLL",
        "first_name": "JANEL",
        "middle_name": "SUPNET",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT-2079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574857",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Americare Hawaii Inc
• Ammon Zukeran LLC
• Hannah Amores
• Taylan An
• Ancheta Pediatric Dental LLC
• January May Andaya, MD
• Britney Anderson, FNP-C
• Tanya Anderson
• Samuel Andrade
• Mekylha Andres

• All providers in Aiea, HI
• Pediatric Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.