Active NPI
Terri Andrade, DDS
- Dental Clinic/Center
- Waipahu, HI
National Provider Identifier
1780174805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1821
- Legal business name
- TERRI ANDRADE, DDS
- Practice address
- 94-239 Waipahu Depot St Ste 208
Waipahu, HI 96797-3056 - Phone
- (808) 671-8784
- NPI assigned
- May 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri Andrade
- Title
- Dentist
- Phone
- (808) 671-8784
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1821 | HI | Primary |
Addresses
Primary practice location
94-239 Waipahu Depot St Ste 208
Waipahu, HI 96797-3056
Mailing address
94-239 Waipahu Depot St Ste 208
Waipahu, HI 96797-3056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 750301 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
94-239 Waipahu Depot St
Ste 208
Waipahu, HI 96797
Phone (808) 671-8784
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Waipahu, HI
- NPI 1255348165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526256000000",
"number": "1780174805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-239 WAIPAHU DEPOT ST STE 208",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-239 WAIPAHU DEPOT ST STE 208",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973056",
"telephone_number": "808-671-8784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRI ANDRADE, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A",
"authorized_official_last_name": "ANDRADE",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "808-671-8784"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "HI",
"license": "1821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "750301",
"state": "HI"
}
],
"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 May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.