NPIMap

Organization Active NPI

Ala Moana Dental Care, Inc.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1851663033
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALA MOANA DENTAL CARE, INC.
Practice address
1601 Kapiolani Blvd
#101
Honolulu, HI 96814-4704
Phone
(808) 941-5555
Fax
(808) 947-2333
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Jacqueline A Cloutier
Title
Financial/Insurance Manager
Phone
(808) 941-5555

Specialties & licenses 1

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

Addresses

Primary practice location

1601 Kapiolani Blvd
#101
Honolulu, HI 96814-4704

Mailing address

1601 Kapiolani Blvd
#101
Honolulu, HI 96814-4704
Phone (808) 941-5555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851663033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 KAPIOLANI BLVD",
            "address_2": "#101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144704",
            "telephone_number": "808-941-5555",
            "fax_number": "808-947-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KAPIOLANI BLVD",
            "address_2": "#101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144704",
            "telephone_number": "808-941-5555",
            "fax_number": "808-947-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALA MOANA DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCIAL/INSURANCE MANAGER",
        "authorized_official_telephone_number": "808-941-5555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.