Organization Active NPI

Periocare

  • Periodontics
  • Kailua, HI
National Provider Identifier
1346570330
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
1859 Issued in HI
Legal business name
PERIOCARE
Practice address
30 Aulike St Ste 501
Kailua, HI 96734-2752
Phone
(808) 263-1100
Fax
(808) 263-0111
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Dr. Braden C Seamons, DDS
Title
Owner
Phone
(808) 263-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 1859 HI Primary

Addresses

Primary practice location

30 Aulike St Ste 501
Kailua, HI 96734-2752

Mailing address

30 Aulike St Ste 501
Kailua, HI 96734-2752
Phone (808) 263-1100

National Provider Directory

National Provider Directory

Locations

30 Aulike St
Ste 501
Kailua, HI 96734
Phone (808) 263-5011

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1346570330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 501",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342752",
            "telephone_number": "808-263-1100",
            "fax_number": "808-263-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 501",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342752",
            "telephone_number": "808-263-1100",
            "fax_number": "808-263-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIOCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SEAMONS",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-263-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.