Individual provider Active NPI

Heather Lenore Cantori

  • Dentist
  • Kea'au, HI
National Provider Identifier
1386903631
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2504 Issued in HI
Practice address
16-192 Pili Mua St
Keaau, HI 96749-8134
Phone
(808) 930-0400
NPI assigned
May 7, 2012
Last updated
Mar 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2504 HI Primary
Public Health Dentistry 1223D0001X 195 HI
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

16-192 Pili Mua St
Keaau, HI 96749-8134

Mailing address

224 Haili St
BLDG B
Hilo, HI 96720-2975

Other names 1

  • Heather Lenore McBurnett Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2504HIMDDentist
195HIMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364083200000",
    "number": "1386903631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HAILI ST",
            "address_2": "BLDG B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-192 PILI MUA ST",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498134",
            "telephone_number": "808-930-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTORI",
        "first_name": "HEATHER",
        "middle_name": "LENORE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2013-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2504",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "HI",
            "license": "195",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MCBURNETT",
            "middle_name": "LENORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kea'au, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; 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.