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REEF SHARK PEDS LLC
NPI 1760239834
Pediatrics in Dededo, GU

Active since May 06, 2024CLIA 65D2327106 · Waiver
134-1 EAST MARINE CORPS DR., DEDEDO, GU 96929(671) 689-8422 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reef Shark Peds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REEF SHARK PEDS LLC (NPI 1760239834), doing business as One Love Pediatrics Dededo, is a healthcare organization registered as a pediatrics in Dededo, Guam and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Michael Um, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1760239834
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameREEF SHARK PEDS LLC
Location Address134-1 EAST MARINE CORPS DR.Dededo, GU 96929
Mailing AddressPo Box 9835Tamuning, GU 96931-5835
Phone(671) 689-8422
Organization SubpartNo
Authorized OfficialMichael UmPhysician Owner · (671) 689-8422
Enumeration DateMay 6, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1760239834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Other Names 1

Doing Business AsOne Love Pediatrics Dededo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 65D2327106

Reef Shark Peds LLC Dba One Love Pediatrics Dededo · Dededo, GU
Active · expires Jul 15, 2027
CLIA Number65D2327106
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorMichael J. Um
Laboratory Phone(671) 689-8422
Laboratory LocationReef Shark Peds LLC Dba One Love Pediatrics Dededo148 Marine Corps Dr Ste 1A, Dededo, GU 96929
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reef Shark Peds LLC's NPI number?

The NPI number for Reef Shark Peds LLC is 1760239834. It was assigned to this organization in the NPPES registry on May 6, 2024. The provider is doing business as One Love Pediatrics Dededo.

Where is Reef Shark Peds LLC located?

Reef Shark Peds LLC is located at 134-1 East Marine Corps Dr., Dededo, GU 96929. The listed phone number is (671) 689-8422.

What is Reef Shark Peds LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Reef Shark Peds LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 65D2327106) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reef Shark Peds LLC was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.