Organization Active NPI

Smile Dental Center Inc.

  • General Practice Dentistry
  • Waipahu, HI
National Provider Identifier
1487974093
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
196508 Issued in HI
Legal business name
SMILE DENTAL CENTER INC.
Practice address
94-300 Farrington Hwy
D-02
Waipahu, HI 96797-2699
Phone
(808) 671-5555
Fax
(808) 671-6161
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Gina Benedicto Viernes, DMDNPI 1710070503
Title
President
Phone
(808) 671-5555

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 196508 HI Primary

Addresses

Primary practice location

94-300 Farrington Hwy
D-02
Waipahu, HI 96797-2699

Mailing address

94-300 Farrington Hwy
D-02
Waipahu, HI 96797-2699
Phone (808) 671-5555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1487974093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY",
            "address_2": "D-02",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972699",
            "telephone_number": "808-671-5555",
            "fax_number": "808-671-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY",
            "address_2": "D-02",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972699",
            "telephone_number": "808-671-5555",
            "fax_number": "808-671-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "VIERNES",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "BENEDICTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-671-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "196508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.