NPIMap

Organization Active NPI

Brian Vongchanphen DDS, LLC

  • General Practice Dentistry
  • Wahiawa, HI
National Provider Identifier
1871076455
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIAN VONGCHANPHEN DDS, LLC
Practice address
810 Kilani Ave Ste a
Wahiawa, HI 96786-2044
Phone
(808) 621-8281
Fax
(808) 621-8282
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Dr. Brian Vongchanphen, DDSNPI 1790110674
Title
Dentist
Phone
(808) 621-8281

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

810 Kilani Ave Ste a
Wahiawa, HI 96786-2044

Mailing address

810 Kilani Ave Ste a
Wahiawa, HI 96786-2044
Phone (808) 621-8281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1871076455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KILANI AVE STE A",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862044",
            "telephone_number": "808-621-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 KILANI AVE STE A",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862044",
            "telephone_number": "808-621-8281",
            "fax_number": "808-621-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN VONGCHANPHEN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "VONGCHANPHEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-621-8281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.