Active NPI
Sophie Youkheang, D.M.D
- Student in an Organized Health Care Education/Training Program
- Hilo, HI
National Provider Identifier
1548018443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1257 Kiauea Ave., Hilo Family Dental Center
Suite 100
Hilo, HI 96720 - Phone
- (808) 333-3610
- Fax
- (808) 333-3617
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1257 Kiauea Ave., Hilo Family Dental Center
Suite 100
Hilo, HI 96720
Mailing address
1257 Kiauea Ave., Hilo Family Dental Center
Suite 100
Hilo, HI 96720
Phone (808) 333-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1548018443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 KIAUEA AVE., HILO FAMILY DENTAL CENTER",
"address_2": "SUITE 100",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-333-3610",
"fax_number": "808-333-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 KIAUEA AVE., HILO FAMILY DENTAL CENTER",
"address_2": "SUITE 100",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-333-3610",
"fax_number": "808-333-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUKHEANG",
"first_name": "SOPHIE",
"name_prefix": "Mrs.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.