Organization Active NPI

Robert S Brath DDS Inc.

  • General Practice Dentistry
  • Lahaina, HI
National Provider Identifier
1285967075
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
77-984 Issued in HI
Legal business name
ROBERT S BRATH DDS INC.
Practice address
134 Luakini St
Lahaina, HI 96761-1258
Phone
(808) 661-4005
Fax
(808) 667-7820
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Jennifer E Roth
Title
Office Manager
Phone
(808) 661-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 77-984 HI Primary

Addresses

Primary practice location

134 Luakini St
Lahaina, HI 96761-1258

Mailing address

134 Luakini St
Lahaina, HI 96761-1258
Phone (808) 661-4005

National Provider Directory

National Provider Directory

Locations

134 Luakini St
Lahaina, HI 96761
Phone (808) 661-4005

Practitioners & affiliated clinicians

Practitioners 1

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1285967075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 LUAKINI ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611258",
            "telephone_number": "808-661-4005",
            "fax_number": "808-667-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LUAKINI ST",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611258",
            "telephone_number": "808-661-4005",
            "fax_number": "808-667-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S BRATH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-661-4005"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "77-984",
            "primary": true
        }
    ],
    "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 Sep 10, 2009; 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.