LISA VALDERUEDA, DMD, INC. (NPI# 1528548716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528548716 |
| Entity Type | Organization |
| Organization Name | LISA VALDERUEDA, DMD, INC. |
| Other Organization Name | LISA VALDERUEDA, DMD, INC. |
| Practice Address |
94-229 Waipahu Depot St Ste 500 Waipahu HI 96797-3035 |
| Practice Telephone | 8086765711 |
| Practice Fax Number | 8086714785 |
| Mailing Telephone | 8086765711 |
| Mailing Fax Number | 8086714785 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | DR. LISA MAE VALDERUEDA (PRESIDENT) |
| Authorized Official Telephone | 8086765711 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1525 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lisa Valderueda, DMD, Inc. | Doing Business As Name - Organization |
| Street Address |
94-229 WAIPAHU DEPOT ST STE 500 |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518342401 | West Oahu Dental Care, Inc. | Clinic/Center | 94-801 Farrington Hwy Ste 208, Waipahu, HI 96797-3149 | 2015-07-21 |
| 1467539601 | Brandon T. Yokota, Dds, LLC | Clinic/Center | 94-307 Farrington Hwy Ste A10, Waipahu, HI 96797-2500 | 2006-11-01 |
| 1376016030 | Arielle M Nagao Dds LLC | Clinic/Center | 94-300 Farrington Hwy Ste F05, Waipahu, HI 96797-2648 | 2019-01-05 |
| 1780174805 | Terri Andrade, Dds | Clinic/Center | 94-239 Waipahu Depot St Ste 208, Waipahu, HI 96797-3056 | 2018-05-14 |
| 1326449877 | Periodontics Hawaii | Clinic/Center | 94-300 Farrington Hwy, D-02, Waipahu, HI 96797-2699 | 2014-09-15 |
| 1669621702 | John M. Tanji, D.d.s., Inc. | Clinic/Center | 94-873 Farrington Hwy, Suite 202, Waipahu, HI 96797-3150 | 2008-09-12 |
| 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 |
| 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 |
| 1932695327 | Robert K. Azama, D.m.d. | Clinic/Center | 850 Kamehameha Hwy Ste 115, Pearl City, HI 96782-2603 | 2018-07-09 |
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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.