Active NPI
Carlos Dantes
- Behavior Technician
- Wailuku, HI
National Provider Identifier
1518367606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-248088
- Practice address
- 270 Waiehu Beach Rd # 1472
Wailuku, HI 96793-1472 - Phone
- (808) 242-7294
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-248088 | HI | Primary |
| Physical Therapy Assistant | 225200000X | 2352 | AK |
Addresses
Primary practice location
270 Waiehu Beach Rd # 1472
Wailuku, HI 96793-1472
Mailing address
270 Waiehu Beach Rd # 1472
Wailuku, HI 96793-1472
Phone (808) 242-7294
Other practice location 1
2440 E Tudor Rd
#338
Anchorage, AK 99507-1185
Phone (907) 830-3592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-248088 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1518367606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 WAIEHU BEACH RD # 1472",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931472",
"telephone_number": "808-242-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WAIEHU BEACH RD # 1472",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931472",
"telephone_number": "808-242-7294"
}
],
"practiceLocations": [
{
"address_1": "2440 E Tudor Rd",
"address_2": "#338",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995071185",
"country_code": "US",
"telephone_number": "907-830-3592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANTES",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-22-248088",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AK",
"license": "2352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.