Individual provider Active NPI

Todd Girard, DMD

  • Dentist
  • Wailuku, HI
National Provider Identifier
1295862449
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DT-2142 Issued in HI
Practice address
54 Maui Lani Pkwy
Suite 2020
Wailuku, HI 96793-2467
Phone
(808) 756-9161
NPI assigned
Feb 27, 2007
Last updated
Oct 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT-2142 HI Primary

Addresses

Primary practice location

54 Maui Lani Pkwy
Suite 2020
Wailuku, HI 96793-2467

Mailing address

54 Maui Lani Pkwy
Suite 2020
Wailuku, HI 96793-2467
Phone (808) 756-9161

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150901003483 HI Order and Referring Only - DentistPractitioner - Dentist 4082920301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT-2142HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Dental Professionals LLC Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1295862449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAUI LANI PKWY",
            "address_2": "SUITE 2020",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932467",
            "telephone_number": "808-756-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAUI LANI PKWY",
            "address_2": "SUITE 2020",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932467",
            "telephone_number": "808-756-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.