Active NPI
John J. Dugan, D.D.S.
- Dentist
- Kahului, HI
National Provider Identifier
1447463542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1485
- Practice address
- 444 Hana Hwy
Suite 210
Kahului, HI 96732 - Phone
- (808) 877-3000
- Fax
- (808) 877-3002
- NPI assigned
- May 7, 2007
- Sex
- Female
- 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 | 1485 | HI | Primary |
Addresses
Primary practice location
444 Hana Hwy
Suite 210
Kahului, HI 96732
Mailing address
444 Hana Hwy
Suite 210
Kahului, HI 96732
Phone (808) 877-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A05921-0 | Other | HI | HMSA |
| 1485 | Other | HI | STATE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 30, 2016 through Apr 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1485 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Dental, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Kahului, HI
- NPI 1568606101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1447463542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 HANA HWY",
"address_2": "SUITE 210",
"city": "KAHULUI",
"state": "HI",
"postal_code": "96732",
"telephone_number": "808-877-3000",
"fax_number": "808-877-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 HANA HWY",
"address_2": "SUITE 210",
"city": "KAHULUI",
"state": "HI",
"postal_code": "96732",
"telephone_number": "808-877-3000",
"fax_number": "808-877-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "JOHN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "1485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A05921-0",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "1485",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.