Active NPI
Cherryvel Montenegro Schmidt, DMD
- Dentist
- Kapolei, HI
National Provider Identifier
1790862068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT1917
- Practice address
- 599 Farrington Highway
Suite 205
Kapolei, HI 96707 - Phone
- (808) 674-9090
- Fax
- (808) 674-8399
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT1917 | HI | Primary |
Addresses
Primary practice location
599 Farrington Highway
Suite 205
Kapolei, HI 96707
Mailing address
599 Farrington Highway
Suite 205
Kapolei, HI 96707
Phone (808) 674-9090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191703 | Other | HI | HDS |
| B212718 | Medicaid | HI | |
| 967539 | Other | HI | U CONCORDIA |
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 |
|---|---|---|---|
| DT1917 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Dental Center- Ewa Beach, LLC | Current | Accepting new patients | |
| Rainbow Dental Center Kapolei Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Ewa Beach, HI
- NPI 1538997192
-
- Dentist
- Kapolei, HI
- NPI 1689769879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790862068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 FARRINGTON HIGHWAY",
"address_2": "SUITE 205",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "96707",
"telephone_number": "808-674-9090",
"fax_number": "808-674-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 FARRINGTON HIGHWAY",
"address_2": "SUITE 205",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "96707",
"telephone_number": "808-674-9090",
"fax_number": "808-674-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "CHERRYVEL",
"middle_name": "MONTENEGRO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT1917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HDS",
"identifier": "191703",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B212718",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CONCORDIA",
"identifier": "967539",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.