Craig G Fostvedt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1606 Issued in HI

Practice address

69-201 Waikoloa Beach Dr
Suite 2615
Waikoloa, HI 96738-5810

Phone

(808) 887-1808

Fax

(808) 887-1807

NPI assigned

Nov 20, 2006

Sex

Male

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.

• Waikoloa Dental Clinic Inc

  • General Practice Dentistry
  • Waikoloa, HI
  • NPI 1003228982
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1336213719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69-201 WAIKOLOA BEACH DR",
            "address_2": "SUITE 2615",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385810",
            "telephone_number": "808-887-1808",
            "fax_number": "808-887-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69-201 WAIKOLOA BEACH DR",
            "address_2": "SUITE 2615",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385810",
            "telephone_number": "808-887-1808",
            "fax_number": "808-887-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTVEDT",
        "first_name": "CRAIG",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Elder, MD
• Elevation Medical Imaging Hawaii LLC
• Oliver Evangelista
• Melanie Falcon, LMT
• Lora M Finelli, MT
• Kristina Anna Fuentes, M.S CCC-SLP
• Anita Louise Gerhard, M.D.
• Angela Glogovsky, RBT
• Shawna Gordon, LMT
• Hawaii Dental Group, Inc.

• General Practice Dentistry in Waikoloa, HI
• Providers in Waikoloa, 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 Sep 13, 2013; 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.