Douglas H. Dierenfield, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

895 Issued in HI

Practice address

75-6082 Alii Dr
Suite D
Kailua Kona, HI 96740-4303

Phone

(808) 329-5251

Fax

(808) 329-4097

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447373725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-6082 ALII DR",
            "address_2": "SUITE D",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967404303",
            "telephone_number": "808-329-5251",
            "fax_number": "808-329-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-6082 ALII DR",
            "address_2": "SUITE D",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967404303",
            "telephone_number": "808-329-5251",
            "fax_number": "808-329-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERENFIELD",
        "first_name": "DOUGLAS",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Deweese
• Lisa M Di Natale, D.C.
• Diabetes and Nutrition LLC
• Diane Logan LLC
• Kenneth Lee Diehl, P.T.
• Sarah Dillabough
• Aimee A Disharoon, CPM, LM
• Walter Douglas Disney Jr., PHARM D
• Janet Ditto, PA
• Aaron James Dodson, DC

• General Practice Dentistry in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.