John A Gawlik, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

CSDT-90 Issued in HI

Practice address

81-6627 Mamalahoa Hwy Ste 106
Kealakekua, HI 96750-8180

Phone

(808) 323-8006

NPI assigned

Jan 25, 2006

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1417927096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "088-326-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6627 MAMALAHOA HWY STE 106",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508180",
            "telephone_number": "808-323-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLIK",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D6885",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62244",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "CSDT-90",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810839",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celia G Frost, MS - EDUCATION
• Terry Ann T Fujioka, PH.D.
• Tyler Fujita
• Jennifer Christine Garcia, M.S., CCC-SLP
• Juliana A Garza, MASTERS-RELIGIOUS ED
• Jeffrey Todd Gerton, MD
• Jessica-Carina Gonzalez
• Elizabeth Groshong, DO
• Gina Guglielmelli
• Karen Christine Gilbert Hale, M.ED.

• Pediatric Dentistry in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Pediatric Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.