NPIMap

Organization Active NPI

Jaclyn Palola, DMD LLC

Doing business as Palola Dental

  • General Practice Dentistry
  • Waipahu, HI
National Provider Identifier
1336531078
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2513 Issued in HI
Legal business name
JACLYN PALOLA, DMD LLC
Doing business as
Palola Dental
Practice address
94-1221 Ka Uka Blvd
Suite 201
Waipahu, HI 96797-6202
Phone
(808) 678-3000
Fax
(808) 678-0555
NPI assigned
Mar 3, 2015
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
JACLYN PALOLA, DMDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Jaclyn M Palola, D.M.D.NPI 1265872659
Title
Managing Member
Phone
(808) 678-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2513 HI Primary

Addresses

Primary practice location

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

Mailing address

94-1221 Ka Uka Blvd
Suite 201
Waipahu, HI 96797-6202
Phone (808) 678-3000

Other names 1

  • Palola Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1336531078",
    "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",
            "fax_number": "808-678-0555"
        },
        {
            "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",
            "fax_number": "808-678-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN PALOLA, DMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACLYN PALOLA, DMD",
        "enumeration_date": "2015-03-03",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "PALOLA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-678-3000",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palola Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.