Jaclyn M Palola, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT2513 Issued in HI

Practice address

94-1221 Ka Uka Blvd
Suite 201
Waipahu, HI 96797-6202

Phone

(808) 678-3000

NPI assigned

Jun 28, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jaclyn Palola, DMD LLC

  dba Palola Dental

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1336531078
  NPD (past) Authorized official
• Greg T. Hurtado,D.D.S.,Inc.

  • Dentist
  • Waipahu, HI
  • NPI 1013141175
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1265872659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD",
            "address_2": "SUITE 201",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202",
            "telephone_number": "808-678-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD",
            "address_2": "SUITE 201",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202",
            "telephone_number": "808-678-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOLA",
        "first_name": "JACLYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Ann Kaneko Paguio, MPT
• Catherine Ganiron Palacio
• Krystina Ariel Palacios
• Paliku Prosthetics & Orthotics Inc
• Darlene Palma
• Ashley Joy Mamuad Pammit
• Corilyn K. S. Pang, M.D.
• Jennifer K. Pang, MD
• John Pang, PHARMD
• Shayla Dela Cruz Pang

• General Practice Dentistry in Waipahu, HI
• Providers in Waipahu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.