Organization Active NPI

Children's Dental Associates, Inc.

  • Pediatric Dentistry
  • Waipahu, HI
National Provider Identifier
1568503258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTAL ASSOCIATES, INC.
Practice address
94-673 Kupuohi St
Suite C103
Waipahu, HI 96797-5367
Phone
(808) 680-0097
Fax
(808) 680-0031
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lori Oshiro
Title
Financial Coordinator
Phone
(808) 680-0097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

94-673 Kupuohi St
Suite C103
Waipahu, HI 96797-5367

Mailing address

1314 S King St
Suite 618
Honolulu, HI 96814-1956
Phone (808) 596-9889

Other identifiers 2

IdentifierTypeStateIssuer
206901OtherHDS
199801OtherHDS

National Provider Directory

National Provider Directory
Tax ID family
Children's Dental Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

94-673 Kupuohi St
Ste C103
Waipahu, HI 96797
Phone (808) 680-0097

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568503258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 618",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956",
            "telephone_number": "808-596-9889",
            "fax_number": "808-596-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-673 KUPUOHI ST",
            "address_2": "SUITE C103",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975367",
            "telephone_number": "808-680-0097",
            "fax_number": "808-680-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSHIRO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "808-680-0097"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "206901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "199801",
            "state": null
        }
    ],
    "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 Aug 22, 2020; 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.