NPIMap

Organization Active NPI

Lisa Valderueda, DMD, Inc.

  • Dental Clinic/Center
  • Waipahu, HI
National Provider Identifier
1528548716
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1525 Issued in HI
Legal business name
LISA VALDERUEDA, DMD, INC.
Doing business as
Lisa Valderueda, DMD, Inc.
Practice address
94-229 Waipahu Depot St Ste 500
Waipahu, HI 96797-3035
Phone
(808) 676-5711
Fax
(808) 671-4785
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Dr. Lisa Mae Valderueda, DMDNPI 1053351304
Title
President
Phone
(808) 676-5711

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
Dental Clinic/Center 261QD0000X 1525 HI Primary

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 500
Waipahu, HI 96797-3035

Mailing address

94-229 Waipahu Depot St Ste 500
Waipahu, HI 96797-3035
Phone (808) 676-5711

Other names 1

  • Lisa Valderueda, DMD, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

94-229 Waipahu Depot St
Ste 500
Waipahu, HI 96797
Phone (503) 841-5065

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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1528548716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 500",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973035",
            "telephone_number": "808-676-5711",
            "fax_number": "808-671-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 500",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973035",
            "telephone_number": "808-676-5711",
            "fax_number": "808-671-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA VALDERUEDA, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "VALDERUEDA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-676-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Valderueda, DMD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2018; 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.