Individual provider Active NPI

Dillon U Moss, DPM

  • Podiatrist
  • Kahului, HI
National Provider Identifier
1396438453
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-259 Issued in HI
Practice address
Island Foot and Ankle Specialists LLC
415 Dairy Rd Suite D
Kahului, HI 96732
Phone
(808) 877-3668
Fax
(808) 877-3248
NPI assigned
Jun 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X PO-259 HI Primary

Addresses

Primary practice location

Island Foot and Ankle Specialists LLC
415 Dairy Rd Suite D
Kahului, HI 96732

Mailing address

415 Dairy Rd Suite D
Kahului, HI 96732
Phone (808) 877-3668

Other identifiers 2

IdentifierTypeStateIssuer
0000825067OtherHIBLUE CROSS
014658MedicaidHI

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
I20260625001285 HI Practitioner - Podiatry 4284107897

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Foot and Ankle Specialists LLCGroup PAC ID 3476978982, 2 clinicians

Practice addresses (Care Compare)

415 Dairy Rd
Suite D
Kahului, HI 96732-2348
Phone (808) 877-3668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Foot and Ankle Specialists LLC CurrentSince Jul 1, 2026 Accepting new patients
Aloha Family Footcare LLC Podiatrist CurrentSince Jul 1, 2026 Accepting new patients

Locations

415 Dairy Rd
Ste D
Kahului, HI 96732
Phone (808) 877-3668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1396438453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 DAIRY RD SUITE D",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "96732",
            "telephone_number": "808-877-3668",
            "fax_number": "808-877-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ISLAND FOOT AND ANKLE SPECIALISTS LLC",
            "address_2": "415 DAIRY RD SUITE D",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "96732",
            "telephone_number": "808-877-3668",
            "fax_number": "808-877-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DILLON",
        "middle_name": "U",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO-259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0000825067",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014658",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.