Active NPI
Dean Alipio, LMT
- Prevention Professional
- Honolulu, HI
National Provider Identifier
1053859603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- MAT 12746
- Practice address
- 932 Ward Ave FL 6
Honolulu, HI 96814-2131 - Phone
- (808) 729-7394
- NPI assigned
- Feb 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | MAT 12746 | HI | Primary |
Addresses
Primary practice location
932 Ward Ave FL 6
Honolulu, HI 96814-2131
Mailing address
PO Box 75250
Honolulu, HI 96836-0250
Phone (808) 729-7394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000279630 | Medicaid | HI |
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 |
|---|---|---|---|
| MAT 12746 | HI | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1053859603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75250",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968360250",
"telephone_number": "808-729-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 WARD AVE FL 6",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142131",
"telephone_number": "808-729-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIPIO",
"first_name": "DEAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "HI",
"license": "MAT 12746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000279630",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.