Fred Y Chen DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FRED Y CHEN DMD LLC

Doing business as

Pearlridge Pediatric Dentistry

Practice address

98-211 Pali Momi St Ste 615
Aiea, HI 96701-4337

Phone

(808) 484-4459

NPI assigned

Oct 11, 2023

Last updated

Feb 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fred Y Chen, DMDNPI 1255744314

Title

Member

Phone

(808) 484-4459

Specialties & licenses 1

Addresses

Other names 1

• Pearlridge Pediatric Dentistry Doing business as

Locations

Practitioners 1

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.

• Fred Chen, D.M.D.

  • Pediatric Dentistry
  • Aiea, HI
  • NPI 1255744314
  NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1740061027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 615",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014337",
            "telephone_number": "808-484-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 615",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014337",
            "telephone_number": "808-484-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Punahou St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968261027",
            "country_code": "US",
            "telephone_number": "808-484-4459",
            "fax_number": "808-404-9759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRED Y CHEN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-484-4459",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearlridge Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearlridge Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maile Fox
• Anthony Joseph Fraiola
• Francis Chee
• Frank C. Baumholtz III, DDS Inc
• Diana J.V. Franklin, RD
• Jacob Friedman, MD
• Ella Frommelt
• Kana'I Satoshi Fu
• Rowena Fuata, APRN-RX
• Hannah Fugate, LCSW

• Pediatric Dentistry in Aiea, HI
• Providers in Aiea, HI by specialty
• Pediatric Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.