NPIMap

Organization Active NPI

12TH Avenue Dental Centre, LLC

  • Dentist
  • Honolulu, HI
National Provider Identifier
1457724940
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1514 Issued in HI
Legal business name
12TH AVENUE DENTAL CENTRE, LLC
Practice address
1144 12TH Ave
Honolulu, HI 96816-3712
Phone
(808) 737-3311
NPI assigned
Nov 5, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Patrick Hayashi, D.D.S.NPI 1346218864
Title
Member
Phone
(808) 737-3311

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1144 12th Ave
Honolulu, HI 96816
Phone (808) 737-3311

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1514 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

1144 12TH Ave
Honolulu, HI 96816-3712

Mailing address

1144 12TH Ave
Honolulu, HI 96816-3712
Phone (808) 737-3311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2015.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1457724940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 12TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163712",
            "telephone_number": "808-737-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 12TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163712",
            "telephone_number": "808-737-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12TH AVENUE DENTAL CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-737-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.