Organization Active NPI

Terri Andrade, DDS

  • Dental Clinic/Center
  • Waipahu, HI
National Provider Identifier
1780174805
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1821 Issued in HI
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

Updated by the provider on May 14, 2018

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

Authorized official

Name
Terri AndradeNPI 1255348165
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
750301MedicaidHI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.