Michael Flores

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

590 Moffet St
Jbphh, HI 96853-5168

Phone

(808) 204-3110

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1245807353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MOFFET ST",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968535168",
            "telephone_number": "808-204-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MOFFET ST",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968535168",
            "telephone_number": "808-204-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Caleb Ersando, ATP, NRP
• Nichole Fernandes, DENTAL HYGIENIST
• Nicholas Fetters, DDS
• Andrew Fisher, MD
• Jason Francis Fisher, DO
• Charisma Q Foronda
• Brian Fulton
• Nitasha Garcia, M.D.
• John Thomas Gasper
• Caroline Yong Glover

• Military Health Care Provider in Jbphh, HI
• Providers in Jbphh, HI by specialty
• Military Health Care Provider in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.