Organization Active NPI

Kidshine Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearl City, HI
National Provider Identifier
1346886066
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KIDSHINE ORTHODONTICS LLC
Practice address
850 Kamehameha Hwy Ste 215
Pearl City, HI 96782-2603
Phone
(808) 638-3313
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Alyssa Ben
Title
HR Manager
Phone
(808) 638-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

850 Kamehameha Hwy Ste 215
Pearl City, HI 96782-2603

Mailing address

850 Kamehameha Hwy Ste 215
Pearl City, HI 96782-2603
Phone (808) 638-3313

Other practice location 1

590 Farrington Hwy Unit 155
Kapolei, HI 96707-2011
Phone (808) 427-9987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1346886066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY STE 215",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822603",
            "telephone_number": "808-638-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY STE 215",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822603",
            "telephone_number": "808-638-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Farrington Hwy Unit 155",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072011",
            "country_code": "US",
            "telephone_number": "808-427-9987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDSHINE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "BEN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "808-638-3313"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.