Individual provider Active NPI

Maria Millare Ngoap, D.M.D.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1013137652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1991 Issued in HI
Practice address
2055 N King St Ste 208
Honolulu, HI 96819-3462
Phone
(808) 843-1182
Fax
(808) 843-1183
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

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 1991 HI Primary

Addresses

Primary practice location

2055 N King St Ste 208
Honolulu, HI 96819-3462

Mailing address

91-1015 Hokuimo St
Kapolei, HI 96707-3078
Phone (808) 693-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603000900 HI Order and Referring Only - DentistPractitioner - Dentist 6507156528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1991HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dental Care and Denture Laboratory Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013137652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1015 HOKUIMO ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073078",
            "telephone_number": "808-693-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N KING ST STE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193462",
            "telephone_number": "808-843-1182",
            "fax_number": "808-843-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOAP",
        "first_name": "MARIA",
        "middle_name": "MILLARE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.