Spencer Anthony Schiappa, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2992 Issued in HI

Practice address

98-1005 Moanalua Rd SPC 2000
Aiea, HI 96701-4700

Phone

(808) 489-9530

NPI assigned

Jun 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pearlridge Dental Care, LLC

  dba Pearlridge Dental Care

  • General Practice Dentistry
  • Aiea, HI
  • NPI 1255768255
  NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1932830130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 2000",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014700",
            "telephone_number": "808-489-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 2000",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014700",
            "telephone_number": "808-489-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAPPA",
        "first_name": "SPENCER",
        "middle_name": "ANTHONY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2992",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sasabe, AMHC, M.A
• Jennifer Sasada, DMD
• Hatesa Sataraka
• Alan Takeshi Sato, DDS
• Ralph R. Sawyer IV, DC
• Robert Lawrence Schiff, M.D.
• Andreia Schindler, PHD
• Conchita Villafuerte Schlemmer, LCSW, DCSW
• Alyssa Schoenfeld
• Caroline Kiana Schwartz

• Dentist in Aiea, HI
• Providers in Aiea, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.