Jorge H Parra Betancourt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5650-015 Issued in WI

Practice address

250 Makalapa Dr
Compacflt Health SVC (N01Hd) Attn: Prof Affairs Coord
Pearl Harbor, HI 96860-3131

Phone

(808) 471-2463

Fax

(808) 474-7806

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043296452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAKALAPA DR",
            "address_2": "COMPACFLT HEALTH SVC (N01HD) ATTN: PROF AFFAIRS COORD",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968603131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAKALAPA DR",
            "address_2": "COMPACFLT HEALTH SVC (N01HD) ATTN: PROF AFFAIRS COORD",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968603131",
            "telephone_number": "808-471-2463",
            "fax_number": "808-474-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA BETANCOURT",
        "first_name": "JORGE",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5650-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Breann Pace, DDS
• Analisa G Page, RN
• Grant Hudson Palmer, DMD
• Lynette Parker, RN
• Melinda Ranee Parker, RN
• Michael Glen Peck Jr., IDC
• Christopher G Pellejera, O.D.
• Dora Enid Pena-Mam, RN
• Valerie Lynn Perez, PSYD
• Johvin Perry

• General Practice Dentistry in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.