Ancheta Pediatric Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DT-2079 Issued in HI

Legal business name

ANCHETA PEDIATRIC DENTAL LLC

Practice address

98-1247 Kaahumanu St
Suite 205
Aiea, HI 96701-5311

Phone

(808) 487-1009

Fax

(808) 487-1004

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janel Ancheta-Carroll, D.M.D.NPI 1336245992

Title

Owner/Pediatric Dentist

Phone

(808) 561-2054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janel Supnet Ancheta-Carroll, D.M.D.

  • Pediatric Dentistry
  • Aiea, HI
  • NPI 1336245992
  NPD (past) Authorized official

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1891235560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 205",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-487-1009",
            "fax_number": "808-487-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 205",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-487-1009",
            "fax_number": "808-487-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHETA PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "ANCHETA-CARROLL",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "808-561-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "DT-2079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574857-03",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Home Care System Inc
• Americare Hawaii Inc
• Ammon Zukeran LLC (Hawaii Elite Chiropractic)
• Hannah Amores
• Taylan An
• Janel Supnet Ancheta-Carroll, D.M.D.
• January May Andaya, MD
• Britney Anderson, FNP-C
• Tanya Anderson
• Samuel Andrade

• Dental Clinic/Center in Aiea, HI
• Providers in Aiea, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.