NPIMap

Organization Active NPI

Dr. Siona Motufau Jr. DDS Co

Doing business as Ohana Dental Implant Centers

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Junction, CO
National Provider Identifier
1144078684
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DR. SIONA MOTUFAU JR. DDS CO
Practice address
425 North Ave Ste a
Grand Junction, CO 81501-7576
Phone
(970) 615-7500
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Dr. Siona Motufau Jr., DDSNPI 1114331824
Title
Dentist
Phone
(970) 712-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

425 North Ave Ste a
Grand Junction, CO 81501-7576

Mailing address

425 North Ave Ste a
Grand Junction, CO 81501-7576
Phone (970) 615-7500

Other identifiers 1

IdentifierTypeStateIssuer
202301MedicaidCO

Other names 1

  • Ohana Dental Implant Centers Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814005015 CO Part B Supplier - Clinic/Group Practice 4284977398 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Clifton, CO; Grand Junction, CO; Montrose, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dr Siona Motufau Jr DDS Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1144078684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NORTH AVE STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017576",
            "telephone_number": "970-615-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NORTH AVE STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017576",
            "telephone_number": "970-615-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIONA MOTUFAU JR. DDS CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "MOTUFAU",
        "authorized_official_first_name": "SIONA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-712-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202301",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohana Dental Implant Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohana Dental Implant Centers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.