Organization Active NPI

West Oahu Dental Care, Inc.

  • Dental Clinic/Center
  • Waipahu, HI
National Provider Identifier
1518342401
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DT-1855 Issued in HI
Legal business name
WEST OAHU DENTAL CARE, INC.
Practice address
94-801 Farrington Hwy Ste 208
Waipahu, HI 96797-3149
Phone
(808) 671-7272
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Dr. Jun L. De Los Reyes, DDS
Title
Dentist/Owner
Phone
(808) 389-7568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DT-1855 HI Primary

Addresses

Primary practice location

94-801 Farrington Hwy Ste 208
Waipahu, HI 96797-3149

Mailing address

95-207 Kelakela PL
Mililani, HI 96789-5990
Phone (808) 389-7568

National Provider Directory

National Provider Directory

Locations

94-801 Farrington Hwy
Ste 208
Waipahu, HI 96797
Phone (808) 671-7272

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": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1518342401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-207 KELAKELA PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895990",
            "telephone_number": "808-389-7568",
            "fax_number": "808-626-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-801 FARRINGTON HWY STE 208",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973149",
            "telephone_number": "808-671-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OAHU DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "808-389-7568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "DT-1855",
            "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 Jul 21, 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.