NPIMap

Organization Active NPI

Pearlridge Dental Group Inc.

  • General Practice Dentistry
  • Aiea, HI
National Provider Identifier
1790934024
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1464 Issued in HI
Legal business name
PEARLRIDGE DENTAL GROUP INC.
Practice address
98-211 Pali Momi St
Ste. #737
Aiea, HI 96701-4301
Phone
(808) 487-1554
Fax
(808) 487-1556
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Craig M. Kaneshiro, DDSNPI 1235388562
Title
President
Phone
(808) 487-1554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1464 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St
Ste. #737
Aiea, HI 96701-4301

Mailing address

98-211 Pali Momi St
Ste. #737
Aiea, HI 96701-4301
Phone (808) 487-1554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1790934024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "STE. #737",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-487-1554",
            "fax_number": "808-487-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "STE. #737",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-487-1554",
            "fax_number": "808-487-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLRIDGE DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "KANESHIRO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-487-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.