Active NPI
Matthew C Dodson, D.D.S.
- General Practice Dentistry
- Lahaina, HI
National Provider Identifier
1053643973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2400
- Practice address
- 845 Wainee St
Suite 201
Lahaina, HI 96761-2321 - Phone
- (808) 667-7033
- NPI assigned
- Feb 3, 2010
- Last updated
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2400 | HI | Primary |
| General Practice Dentistry | 1223G0001X | 58738 | CA |
Addresses
Primary practice location
845 Wainee St
Suite 201
Lahaina, HI 96761-2321
Mailing address
PO Box 1671
Lahaina, HI 96767-1671
Phone (808) 667-7033
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 |
|---|---|---|---|
| 2400 | HI | MD | General Practice Dentistry |
| 58738 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Dental Studio, LLC | Current | Accepting new patients | |
| Lahaina Dental Group, LLC | General Practice | Current | Accepting new patients |
| KFDC, LLC | Current | Accepting new patients | |
| John D Dodson, D.D.S. Inc. | Past | Accepting new patients | |
| John D Dodson DDS Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- General Practice Dentistry
- Lahaina, HI
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1053643973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1671",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967671671",
"telephone_number": "808-667-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 WAINEE ST",
"address_2": "SUITE 201",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967612321",
"telephone_number": "808-667-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "MATTHEW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "2400",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58738",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lahaina, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.