Organization Active NPI

Sunshine Dental Center, LLC

  • Dentist
  • Waipahu, HI
National Provider Identifier
1801133871
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT-1869 Issued in HI
Legal business name
SUNSHINE DENTAL CENTER, LLC
Practice address
94-748 D Hikimoe Street
Waipahu, HI 96797-3350
Phone
(808) 677-3751
Fax
(808) 677-8646
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Dr. Elaine Alfaro Mesinas, DMDNPI 1336221977
Title
Owner
Phone
(808) 677-3751

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DT-1869 HI Primary

Addresses

Primary practice location

94-748 D Hikimoe Street
Waipahu, HI 96797-3350

Mailing address

94-748 D Hikimoe Street
Waipahu, HI 96797-3350
Phone (808) 677-3751

Other identifiers 1

IdentifierTypeStateIssuer
07669101MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Dental Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

94-748 Hikimoe St
Ste D
Waipahu, HI 96797
Phone (808) 677-3751

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1801133871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-748 D HIKIMOE STREET",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973350",
            "telephone_number": "808-677-3751",
            "fax_number": "808-677-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-748 D HIKIMOE STREET",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973350",
            "telephone_number": "808-677-3751",
            "fax_number": "808-677-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "MESINAS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "ALFARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-677-3751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07669101",
            "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 Jan 11, 2013; 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.