Organization Active NPI

Orthodontic Associates LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lahaina, HI
National Provider Identifier
1972075760
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTIC ASSOCIATES LLC
Practice address
505 Front St Ste 202
Lahaina, HI 96761
Phone
(808) 874-9229
Fax
(808) 961-2805
NPI assigned
Dec 18, 2018
Reactivated
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Alexander VergaNPI 1619407624
Title
Doctor/Owner
Phone
(808) 961-6662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

505 Front St Ste 202
Lahaina, HI 96761

Mailing address

285 W Kaahumanu Ave Ste 220
Kahului, HI 96732-1623
Phone (808) 874-9229

Other names 1

  • Hawaii Smile Designs Doing business as

National Provider Directory

National Provider Directory

Locations

505 Front St
Ste 202
Lahaina, HI 96761
Phone (808) 757-5259

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1972075760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W KAAHUMANU AVE STE 220",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321623",
            "telephone_number": "808-874-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FRONT ST STE 202",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "96761",
            "telephone_number": "808-874-9229",
            "fax_number": "808-961-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "deactivation_date": "2024-09-30",
        "reactivation_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "VERGA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "808-961-6662"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Smile Designs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawaii Smile Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.