Individual provider Active NPI

Ariel Keiko Miu Lin Ita, RDH

  • Dental Hygienist
  • Aiea, HI
National Provider Identifier
1851943203
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH-1792 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 2000
Aiea, HI 96701-4700
Phone
(808) 489-9530
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH-1792 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 2000
Aiea, HI 96701-4700

Mailing address

1060 Kamehameha Hwy Apt 4101B
Pearl City, HI 96782-2575
Phone (808) 358-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH-1792HIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearlridge Dental Care, LLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 2000
Aiea, HI 96701
Phone (808) 358-2134

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1851943203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 KAMEHAMEHA HWY APT 4101B",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822575",
            "telephone_number": "808-358-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 2000",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014700",
            "telephone_number": "808-489-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITA",
        "first_name": "ARIEL",
        "middle_name": "KEIKO MIU LIN",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "DH-1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.