Active NPI
Grant Hudson Palmer, DMD
- Dentist
- Pearl Harbor, HI
National Provider Identifier
1386260107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10437
- Practice address
- Naval Health Clinic Hawaii
480 Central Avenue
Pearl Harbor, HI 96860-2803 - Phone
- (808) 496-3365
- NPI assigned
- Jun 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10437 | KY | Primary |
Addresses
Primary practice location
Naval Health Clinic Hawaii
480 Central Avenue
Pearl Harbor, HI 96860-2803
Mailing address
10608 Laurin CT
Union, KY 41091-7970
Phone (859) 496-7569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10437 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1386260107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10608 LAURIN CT",
"city": "UNION",
"state": "KY",
"postal_code": "410917970",
"telephone_number": "859-496-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HEALTH CLINIC HAWAII",
"address_2": "480 CENTRAL AVENUE",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "968602803",
"telephone_number": "808-496-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "GRANT",
"middle_name": "HUDSON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2025-07-24",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.