San Diego Family Dentistry , Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-2335 Issued in HI

Legal business name

SAN DIEGO FAMILY DENTISTRY , INC

Practice address

1150 S. King St.
Suite 504
Honolulu, HI 96814-1968

Phone

(808) 597-8057

Fax

(808) 597-8057

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ma Emerita B. San Diego, D.M.D.

Title

Dentist

Phone

(808) 597-8057

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1669702619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S. KING ST.",
            "address_2": "SUITE 504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141968",
            "telephone_number": "808-597-8057",
            "fax_number": "808-597-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S. KING ST.",
            "address_2": "SUITE 504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141968",
            "telephone_number": "808-597-8057",
            "fax_number": "808-597-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO FAMILY DENTISTRY , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SAN DIEGO",
        "authorized_official_first_name": "MA EMERITA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-597-8057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranka Samsa, M.D.
• Justan Samson, NBHWC
• Leah Samson, COMS
• Samuel C H Lo MD & Jonathan Lo MD a Prof Corp
• Martha Machel Samuel
• Maemerita B San Diego, DMD
• San Miguel Endocrine, Inc
• Ray Vicente San Nicolas, PT, DPT
• Rocio Maricela Sanchez Guzman
• Sanchez Prime Care PC

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.