Healthy Smiles Family Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1901 Issued in HI

Legal business name

HEALTHY SMILES FAMILY DENTAL, INC.

Practice address

579 Farrington Hwy
Suite 201
Kapolei, HI 96707-2027

Phone

(808) 674-1400

Fax

(808) 674-1499

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Eugenio Fernandez, D.D.S.NPI 1265768360

Title

President/VP/Treasurer

Phone

(808) 674-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Eugenio Fernandez, D.D.S.

  • General Practice Dentistry
  • Kapolei, HI
  • NPI 1265768360
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831290048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FARRINGTON HWY",
            "address_2": "SUITE 201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072027",
            "telephone_number": "808-674-1400",
            "fax_number": "808-674-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FARRINGTON HWY",
            "address_2": "SUITE 201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072027",
            "telephone_number": "808-674-1400",
            "fax_number": "808-674-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT/VP/TREASURER",
        "authorized_official_telephone_number": "808-674-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawaii Medride LLC
• Hawaii Psychological Services, Inc
• Sharae Hawelu, LMFT
• William T Hawkins Jr., MSN, CEN, RN
• Shelby J Haygood
• Kimberly Mei Lin Heddlesten
• Pathama Hennek, MAT-14897
• Melanie Hernandez
• Joanna Lehua Herrod
• Taylor Nanimakamae Hershey

• General Practice Dentistry in Kapolei, HI
• Providers in Kapolei, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.