Madilyn Grace Serenko, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2300 Issued in HI

Practice address

1329 Lusitana St Ste 405
Honolulu, HI 96813-2412

Phone

(808) 526-2800

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steve E Wilhite DDS

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1730475559
  NPD (past)

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1487423604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 TUSITALA ST APT 1506",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153127",
            "telephone_number": "808-683-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132412",
            "telephone_number": "808-526-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENKO",
        "first_name": "MADILYN",
        "middle_name": "GRACE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dental Hygienist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.