Individual provider Active NPI

Carlos Dantes

  • Behavior Technician
  • Wailuku, HI
National Provider Identifier
1518367606
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-248088 Issued in HI
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

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-22-248088HIMDBehavior 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.

Verify at the official NPI Registry.