Active NPI
Hana A Vandervoort, DMD
- Dentist
- Makawao, HI
National Provider Identifier
1043785819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2764
- Practice address
- 81 Makawao Ave Ste 101
Makawao, HI 96768-8894 - Phone
- (808) 572-9461
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2764 | HI | Primary |
Addresses
Primary practice location
81 Makawao Ave Ste 101
Makawao, HI 96768-8894
Mailing address
81 Makawao Ave Ste 101
Makawao, HI 96768-8894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2764 | HI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1043785819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MAKAWAO AVE STE 101",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 MAKAWAO AVE STE 101",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688894",
"telephone_number": "808-572-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERVOORT",
"first_name": "HANA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "2764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.