Organization Active NPI

Aiea Pearl City Dental Care LLP

  • Dental Clinic/Center
  • Pearl City, HI
National Provider Identifier
1538810262
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AIEA PEARL CITY DENTAL CARE LLP
Practice address
98-1256 Kaahumanu St Ste E303
Pearl City, HI 96782-3282
Phone
(808) 488-1988
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Dr. Blake MatsuuraNPI 1487942678
Title
Partner
Phone
(808) 488-1988

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 Primary

Addresses

Primary practice location

98-1256 Kaahumanu St Ste E303
Pearl City, HI 96782-3282

Mailing address

98-1256 Kaahumanu St Ste E303
Pearl City, HI 96782-3282
Phone (808) 488-1988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1538810262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1256 KAAHUMANU ST STE E303",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823282",
            "telephone_number": "808-488-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1256 KAAHUMANU ST STE E303",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823282",
            "telephone_number": "808-488-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIEA PEARL CITY DENTAL CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "MATSUURA",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "808-488-1988",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.