Christopher Godla, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2528 Issued in HI

Practice address

1221 Kilauea Ave
Suite #100
Hilo, HI 96720-4271

Phone

(808) 333-3600

NPI assigned

Apr 15, 2014

Last updated

Apr 15, 2014By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garden Island Dental LLC

  dba Garden Island Dental

  • Dental Clinic/Center
  • Lihue, HI
  • NPI 1912591173
  NPD Authorized official
• West Hawaii Community Health Center, Inc.

  dba Hawaii Island Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hilo, HI
  • NPI 1487256491
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1467871780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KILAUEA AVE",
            "address_2": "SUITE #100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KILAUEA AVE",
            "address_2": "SUITE #100",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204271",
            "telephone_number": "808-333-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLA",
        "first_name": "CHRISTOPHER",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavaun Erin Gilliland, LMT
• Gina Reyes, Psy.D. LLC
• Kimberly Gitzel, L.AC.
• Jennifer Mae Goaring, CNM
• Stephanie Goddard, L.M.T.
• Michael Allen Goedde, M.D.
• Going Home Hawaii
• James Blake Goldfarb, MT
• James H Gollop, MD
• Joseph Gomez

• General Practice Dentistry in Hilo, HI
• Providers in Hilo, 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 Apr 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.