NPIMap

Organization Active NPI

Aloha Stadium Dental Associates

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1528484334
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
170400A0078749 Issued in HI
Legal business name
ALOHA STADIUM DENTAL ASSOCIATES
Practice address
4510 Salt Lake Blvd
Suite B-3
Honolulu, HI 96818-3153
Phone
(808) 487-9948
NPI assigned
Mar 17, 2014
Organization subpart
Yes
Parent organization
ALOHA STADIUM DENTAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Tina Tom
Title
Doctor
Phone
(808) 487-9948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 170400A0078749 HI Primary

Addresses

Primary practice location

4510 Salt Lake Blvd
Suite B-3
Honolulu, HI 96818-3153

Mailing address

4510 Salt Lake Blvd
Suite B-3
Honolulu, HI 96818-3153
Phone (808) 487-9948

National Provider Directory

National Provider Directory
Part of
Tina N Tom DDS a Professional Corporation

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": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1528484334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD",
            "address_2": "SUITE B-3",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183153",
            "telephone_number": "808-487-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD",
            "address_2": "SUITE B-3",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183153",
            "telephone_number": "808-487-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA STADIUM DENTAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALOHA STADIUM DENTAL ASSOCIATES",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "808-487-9948",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "170400A0078749",
            "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 May 22, 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.