Individual provider Active NPI

Roland J.B. Ylarde, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1003966243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1550 Issued in HI
Practice address
634 Kalihi St Ste 203
Honolulu, HI 96819-4000
Phone
(808) 847-1888
Fax
(808) 847-2265
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1550 HI Primary

Addresses

Primary practice location

634 Kalihi St Ste 203
Honolulu, HI 96819-4000

Mailing address

634 Kalihi St Ste 203
Honolulu, HI 96819-4000
Phone (808) 847-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1550HIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003966243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-847-1888",
            "fax_number": "808-847-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-847-1888",
            "fax_number": "808-847-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YLARDE",
        "first_name": "ROLAND",
        "middle_name": "J.B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.