Fredric C Gaeta DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1156 Issued in HI

Legal business name

FREDRIC C GAETA DDS

Practice address

75-5706 Hanama PL
Suite 105a
Kailua Kona, HI 96740-1745

Phone

(808) 329-3314

Fax

(808) 329-1354

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fredric C Gaeta, DDS

Title

Owner

Phone

(808) 329-3314

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred C Gaeta, MA DDS

  • General Practice Dentistry
  • Kailua Kona, HI
  • NPI 1386745735
  NPD (past)

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1043606270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5706 HANAMA PL",
            "address_2": "SUITE 105A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401745",
            "telephone_number": "808-329-3314",
            "fax_number": "808-329-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5706 HANAMA PL",
            "address_2": "SUITE 105A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401745",
            "telephone_number": "808-329-3314",
            "fax_number": "808-329-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC C GAETA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "GAETA",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-329-3314",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxima May Forslund
• Clayton Lee Foster, MD
• John Fox IV, LCSW
• Kristina M. Fox, OTR
• Jan Fradenburg
• Free to Feel Wellness LLC
• Freedom of Speech, LLC (Freedom of Speech)
• Michael C Friedman, MA
• Elizabeth Fryer
• John Fujita

• General Practice Dentistry in Kailua Kona, HI
• Providers in Kailua Kona, 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 Apr 14, 2015; 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.