NPIMap

Organization Active NPI

Wahiawa Family Dental Care, LLP

  • General Practice Dentistry
  • Wahiawa, HI
National Provider Identifier
1932288008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1137 Issued in HI
Legal business name
WAHIAWA FAMILY DENTAL CARE, LLP
Practice address
302 California Ave Ste 204
Wahiawa, HI 96786-1841
Phone
(808) 622-2633
Fax
(808) 622-2342
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lara Sato
Title
Operations Manager
Phone
(808) 622-2633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT-1137 HI Primary

Addresses

Primary practice location

302 California Ave Ste 204
Wahiawa, HI 96786-1841

Mailing address

302 California Ave Ste 204
Wahiawa, HI 96786-1841

National Provider Directory

National Provider Directory

Locations

302 California Ave
Ste 204
Wahiawa, HI 96786
Phone (808) 622-2633

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932288008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE STE 204",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE STE 204",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-622-2633",
            "fax_number": "808-622-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA FAMILY DENTAL CARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SATO",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "808-622-2633"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1137",
            "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 Aug 22, 2020; 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.