Organization Active NPI

Dental Fitness Inc

  • General Practice Dentistry
  • Waipahu, HI
National Provider Identifier
1588770697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL FITNESS INC
Practice address
94-673 Kupuohi Street
Suite C101
Waipahu, HI 96797-1124
Phone
(808) 677-5588
Fax
(808) 677-6588
NPI assigned
Aug 22, 2006
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
Dr. Edith Cabugon Oamil-Pacho, DMDNPI 1891020855
Title
President
Phone
(808) 677-5588

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

94-673 Kupuohi Street
Suite C101
Waipahu, HI 96797-1124

Mailing address

94-673 Kupuohi Street
Suite C101
Waipahu, HI 96797-1124
Phone (808) 677-5588

Other identifiers 5

IdentifierTypeStateIssuer
DT1948OtherHMAA
1948OtherHDS
7861159OtherAETNA
183094OtherANTHEM
977589OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

94-673 Kupuohi St
Ste C101
Waipahu, HI 96797
Phone (808) 677-5588

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588770697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-673 KUPUOHI STREET",
            "address_2": "SUITE C101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971124",
            "telephone_number": "808-677-5588",
            "fax_number": "808-677-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-673 KUPUOHI STREET",
            "address_2": "SUITE C101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971124",
            "telephone_number": "808-677-5588",
            "fax_number": "808-677-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OAMIL-PACHO",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "CABUGON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-677-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "DT1948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HDS",
            "identifier": "1948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7861159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "183094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "977589",
            "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.