ANCHETA PEDIATRIC DENTAL LLC (NPI# 1891235560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891235560 |
| Entity Type | Organization |
| Organization Name | ANCHETA PEDIATRIC DENTAL LLC |
| Practice Address |
98-1247 Kaahumanu St Suite 205 Aiea HI 96701-5311 |
| Practice Telephone | 8084871009 |
| Practice Fax Number | 8084871004 |
| Mailing Telephone | 8084871009 |
| Mailing Fax Number | 8084871004 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | DR. JANEL ANCHETA-CARROLL (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Telephone | 8085612054 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DT-2079 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 574857-03 | 05 |
| Street Address |
98-1247 KAAHUMANU ST SUITE 205 |
| City | AIEA |
| State | HI |
| Zip Code | 96701-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471674 | Edwin Y Endo | Optometrist | 98-1247 Kaahumanu St, Ste 105, Aiea, HI 96701-5300 | 2006-01-10 |
| 1073975843 | Edwin Yoshio Endo II | Optometrist | 98-1247 Kaahumanu St, Suite 105, Aiea, HI 96701 | 2016-03-22 |
| 1710344460 | Kathleen Wyatt | Clinic/Center | 98-1247 Kaahumanu St, Suite 207, Aiea, HI 96701-5311 | 2016-01-26 |
| 1679939631 | Scott Hiramoto LLC | Clinic/Center | 98-1247 Kaahumanu St, Suite 321, Aiea, HI 96701-5311 | 2016-01-06 |
| 1922473560 | Mona N. Suzuki, M.d., Inc. | Specialist | 98-1247 Kaahumanu St, Ste. 217, Aiea, HI 96701-5311 | 2015-12-08 |
| 1295108280 | Island Dental Group Inc | Durable Medical Equipment & Medical Supplies | 98-1247 Kaahumanu St, Suite 214, Aiea, HI 96701-5311 | 2015-11-12 |
| 1326426727 | Mari Kanemura | Social Worker | 98-1247 Kaahumanu St, Suite 223, Aiea, HI 96701-5311 | 2015-05-18 |
| 1972914117 | Hawaii Pet Imaging LLC | Radiologic Technologist | 98-1247 Kaahumanu St, Suite 320, Aiea, HI 96701-5311 | 2014-05-09 |
| 1629496591 | Melvin C. W. Wong M, D, Inc. | Specialist | 98-1247 Kaahumanu St, Suite 318, Aiea, HI 96701-5311 | 2014-03-28 |
| 1104253541 | Donna L Macri | Psychologist | 98-1247 Kaahumanu St, Suite 223, Aiea, HI 96701-5311 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
| Find all providers in zip 96701 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679939631 | Scott Hiramoto LLC | Clinic/Center | 98-1247 Kaahumanu St, Suite 321, Aiea, HI 96701-5311 | 2016-01-06 |
| 1548493554 | Eduardo K. Manapat Dmd Inc. | Clinic/Center | 98-1247 Kaahumanu St, 203, Aiea, HI 96701-5311 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300614 | Ji S Kim | Clinic/Center | 95-1095 Ainamakua Drive, Suite 5/7 A, Mililani, HI 96789 | 2020-06-16 |
| 1073153789 | Scott S. Shimabukuro, Dds | Clinic/Center | 2-2389 Kaumualii Hwy, Kalaheo, HI 96741 | 2020-01-10 |
| 1164067682 | Dental World Kaneohe LLC | Clinic/Center | 46-005 Kawa St Ste 204, Kaneohe, HI 96744-3812 | 2019-11-07 |
| 1760027288 | Big Island Smiles Orthodontocs LLC | Clinic/Center | 76-6225 Kuakini Hwy Ste B101, Kailua Kona, HI 96740-3223 | 2019-11-07 |
| 1851864920 | Aloha Family Dentistry Hawaii | Clinic/Center | 45-1144 Kamehameha Hwy Ste 304, Kaneohe, HI 96744-3226 | 2019-01-10 |
| 1891268108 | Kahului Dentists LLC | Clinic/Center | 270 Dairy Rd Ste 160, Kahului, HI 96732-2986 | 2019-01-09 |
| 1558839589 | Kidshine Kapolei LLC | Clinic/Center | 590 Farrington Hwy Unit 155, Kapolei, HI 96707-2011 | 2018-11-07 |
| 1528548716 | Lisa Valderueda, Dmd, Inc. | Clinic/Center | 94-229 Waipahu Depot St Ste 500, Waipahu, HI 96797-3035 | 2018-08-16 |
| 1033695382 | Clarence K.m. Young, D.d.s. | Clinic/Center | 1150 S King St Ste 503, Honolulu, HI 96814-1952 | 2018-07-18 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.