NPIMap

Organization Active NPI

Emily Bordner, DDS, LLC

  • Pediatric Dentistry
  • Honolulu, HI
National Provider Identifier
1811363377
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DT-2007 Issued in HI
Legal business name
EMILY BORDNER, DDS, LLC
Practice address
2752 Woodlawn Dr
Ste 5-207
Honolulu, HI 96822-1802
Phone
(808) 988-2636
NPI assigned
Aug 18, 2015
Last updated
Aug 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Emily Sayuri Bordner, DDSNPI 1891748760
Title
Owner
Phone
(808) 988-2636

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
Pediatric Dentistry 1223P0221X DT-2007 HI Primary

Addresses

Primary practice location

2752 Woodlawn Dr
Ste 5-207
Honolulu, HI 96822-1802

Mailing address

2752 Woodlawn Dr
Ste 5-207
Honolulu, HI 96822-1802
Phone (808) 988-2636

Other identifiers 1

IdentifierTypeStateIssuer
56971701MedicaidHI

Other names 1

  • Firstsmiles Other name

National Provider Directory

National Provider Directory

Locations

2752 Woodlawn Dr
Ste 5-207
Honolulu, HI 96822
Phone (808) 988-2636

Practitioners & affiliated clinicians

Practitioners 2

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": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1811363377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 WOODLAWN DR",
            "address_2": "STE 5-207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221802",
            "telephone_number": "808-988-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 WOODLAWN DR",
            "address_2": "STE 5-207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221802",
            "telephone_number": "808-988-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY BORDNER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "BORDNER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "SAYURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-988-2636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT-2007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56971701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firstsmiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.