Active NPI
Jennifer Veiga Banner
- Dental Hygienist
- Honolulu, HI
National Provider Identifier
1629816814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2284
- Practice address
- 3270 Waialae Ave
Honolulu, HI 96816-5836 - Phone
- (808) 732-4377
- NPI assigned
- Jul 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020.017018 | IL | |
| Dental Hygienist | 124Q00000X | 2284 | HI | Primary |
Addresses
Primary practice location
3270 Waialae Ave
Honolulu, HI 96816-5836
Mailing address
1646 Keliiponi LN
Wahiawa, HI 96786-7080
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
| License | State | Type | Specialty |
|---|---|---|---|
| 020.017018 | IL | MD | Dental Hygienist |
| 2284 | HI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1629816814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 KELIIPONI LN",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967867080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 WAIALAE AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165836",
"telephone_number": "808-732-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNER",
"first_name": "JENNIFER",
"middle_name": "VEIGA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020.017018",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "HI",
"license": "2284",
"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 Jul 20, 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.