Individual provider Active NPI

Liva Junior Seiuli II, BDS

  • Public Health Dentistry
  • Pago Pago, AS
National Provider Identifier
1902628399
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
5082C Issued in AS
Practice address
Haleck Professional Building, Tafuna Pago Pago
Pagopago, AS 96799
Phone
(684) 699-6380
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 5082C AS Primary

Addresses

Primary practice location

Haleck Professional Building, Tafuna Pago Pago
Pagopago, AS 96799

Mailing address

PO Box 5375
Pago Pago, AS 96799-5375
Phone (684) 256-4015

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
5082CASMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1902628399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5375",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967995375",
            "telephone_number": "684-256-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HALECK PROFESSIONAL BUILDING, TAFUNA PAGO PAGO",
            "city": "PAGOPAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-699-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIULI",
        "first_name": "LIVA",
        "middle_name": "JUNIOR",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AS",
            "license": "5082C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pago Pago, AS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.