Azure Laarletta Utley, DDS, MHA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

10176 Issued in NC

Practice address

Tripler Army Medical Center (Tamc)
Dental Health Activity Department
Honolulu, HI 96858

Phone

(808) 433-5551

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ryan, James, Wiles, Patel & Olsen LLP

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  Medicare reassignment NPD
• Ryan, James, Wiles, Patel & Olsen LLP

  • Dentist
  • Fayetteville, NC
  • NPI 1275647976
  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1871563759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 38717",
            "address_2": "38TH STREET",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055660",
            "telephone_number": "706-787-6927",
            "fax_number": "706-787-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRIPLER ARMY MEDICAL CENTER (TAMC)",
            "address_2": "DENTAL HEALTH ACTIVITY DEPARTMENT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96858",
            "telephone_number": "808-433-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "AZURE",
        "middle_name": "LAARLETTA",
        "name_prefix": "Dr.",
        "credential": "DDS, MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN012978",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "DT-3195",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "13181",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usrc Kalihi LLC
• Usrc Kapahulu, LLC
• Uss Pasadena(Ssn752)
• Digjaya Utama, MD
• Kaori Utashiro
• Sarah Uto-Uko, LCSW
• Amber Uto
• Lloyd Yoshio Uto, DDS
• Danielle TSD Utrera, LCSW
• Alyssa Ann Caitlyn Uwaine, PT, DPT

• Prosthodontics in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Prosthodontics in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.