Endodontic Associates LLC
Organization Active NPI Endodontics · Aiea, HI
NPI 1902052012 · NPPES record last updated Aug 8, 2008
Key facts
- NPI
- 1902052012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- W68644697-01 (HI)
- Legal business name
- ENDODONTIC ASSOCIATES LLC
- Practice address
- 98-150 Kaonohi St
C118
Aiea, HI 96701-5047 - Phone
- (808) 455-9051
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jane Cui
- Title
- Office Manager
- Phone
- (808) 455-9051
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Endodontic Associates LLC
Locations
98-150 Kaonohi St
Ste C118
Aiea, HI 96701
Phone (808) 455-9051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | W68644697-01 | HI | Yes |
Addresses
Primary practice location
98-150 Kaonohi St
C118
Aiea, HI 96701-5047
Mailing address
98-150 Kaonohi St
C118
Aiea, HI 96701-5047
Phone (808) 455-9051
NPI Registry JSON
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1902052012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-150 KAONOHI ST",
"address_2": "C118",
"city": "AIEA",
"state": "HI",
"postal_code": "967015047",
"telephone_number": "808-455-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-150 KAONOHI ST",
"address_2": "C118",
"city": "AIEA",
"state": "HI",
"postal_code": "967015047",
"telephone_number": "808-455-9051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDODONTIC ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "CUI",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "808-455-9051",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "HI",
"license": "W68644697-01",
"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. Record last updated by the provider on Aug 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.