Active NPI
Tian W He, D.M.D.
- Pediatric Dentistry
- Pearl City, HI
National Provider Identifier
1396158556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DT2636
- Practice address
- 850 Kamehameha Hwy #215
Pearl City, HI 96782 - Phone
- (808) 456-4555
- Fax
- (808) 455-6180
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DT2636 | HI | Primary |
Addresses
Primary practice location
850 Kamehameha Hwy #215
Pearl City, HI 96782
Mailing address
850 Kamehameha Hwy #215
Pearl City, HI 96782
Phone (808) 456-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2636 | HI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1396158556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 KAMEHAMEHA HWY #215",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "96782",
"telephone_number": "808-456-4555",
"fax_number": "808-455-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KAMEHAMEHA HWY #215",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "96782",
"telephone_number": "808-456-4555",
"fax_number": "808-455-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "TIAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "HI",
"license": "DT2636",
"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 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.