NPIMap

Organization Active NPI

Pearl Family Dental Care, Inc

  • General Practice Dentistry
  • Pearl City, HI
National Provider Identifier
1821177924
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1398 Issued in HI
Legal business name
PEARL FAMILY DENTAL CARE, INC
Practice address
1000 Kamehameha Hwy Ste 235
Pearl City, HI 96782-2882
Phone
(808) 456-5953
Fax
(808) 455-4453
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Ashly Sunshine
Title
Credentialing Specialist
Phone
(314) 413-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DT-1398 HI Primary

Addresses

Primary practice location

1000 Kamehameha Hwy Ste 235
Pearl City, HI 96782-2882

Mailing address

1000 Kamehameha Hwy Ste 235
Pearl City, HI 96782-2882
Phone (808) 456-5953

National Provider Directory

National Provider Directory
Tax ID family
Pearl Family Dental Care Inc2 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

1000 Kamehameha Hwy
Ste 235
Pearl City, HI 96782
Phone (808) 456-5953

Practitioners & affiliated clinicians

Practitioners 4

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1821177924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY STE 235",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822882",
            "telephone_number": "808-456-5953",
            "fax_number": "808-455-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KAMEHAMEHA HWY STE 235",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822882",
            "telephone_number": "808-456-5953",
            "fax_number": "808-455-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL FAMILY DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-413-2803"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.