Organization Active NPI

Holliday Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearl City, HI
National Provider Identifier
1477964237
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2077 Issued in HI
Legal business name
HOLLIDAY ORTHODONTICS, LLC
Practice address
1245 Kuala St
Suite 110
Pearl City, HI 96782-3900
Phone
(808) 485-1177
Fax
(808) 485-1179
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Sean R Holliday, DDS, MS
Title
Member
Phone
(808) 485-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2077 HI Primary

Addresses

Primary practice location

1245 Kuala St
Suite 110
Pearl City, HI 96782-3900

Mailing address

1245 Kuala St
Suite 110
Pearl City, HI 96782-3900
Phone (808) 485-1177

National Provider Directory

National Provider Directory

Locations

1245 Kuala St
Ste 110
Pearl City, HI 96782
Phone (808) 485-1177

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1477964237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST",
            "address_2": "SUITE 110",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-485-1177",
            "fax_number": "808-485-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST",
            "address_2": "SUITE 110",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-485-1177",
            "fax_number": "808-485-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-485-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "2077",
            "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 May 15, 2014; 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.