Individual provider Active NPI

Juliana Hsu, DMD

  • Pediatric Dentistry
  • Honolulu, HI
National Provider Identifier
1619271392
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2637 Issued in HI
Practice address
2752 Woodlawn Dr Ste 5-207
Honolulu, HI 96822-1855
Phone
(808) 988-2636
NPI assigned
Jan 10, 2011
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2637 HI Primary

Addresses

Primary practice location

2752 Woodlawn Dr Ste 5-207
Honolulu, HI 96822-1855

Mailing address

1108 Auahi St Apt 2108
Honolulu, HI 96814-4969
Phone (617) 275-6173

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

State licenses

LicenseStateTypeSpecialty
2637HIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
J Hsu DMD Ms Inc CurrentSince Apr 10, 2022 Accepting new patients
Emily Bordner, DDS, LLC Pediatric Dentistry PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1619271392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 AUAHI ST APT 2108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144969",
            "telephone_number": "617-275-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 WOODLAWN DR STE 5-207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221855",
            "telephone_number": "808-988-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "JULIANA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.