Jomarc Dasalla

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1 Kneeland St # 1005
Boston, MA 02111-1527

Phone

(617) 636-6828

NPI assigned

Jun 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Honolulu Dental Care, LLC

  • Dental Clinic/Center
  • Honolulu, HI
  • NPI 1861067480
  NPD (past)
• Pearlridge Dental Care, LLC

  • General Practice Dentistry
  • Aiea, HI
  • NPI 1255768255
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1558106922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1018 KAIAU AVE # 1B",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071986",
            "telephone_number": "907-738-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST # 1005",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111527",
            "telephone_number": "617-636-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3270 Waialae Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968165836",
            "country_code": "US",
            "telephone_number": "808-732-4377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Kapiolani Blvd Ste 1207",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144406",
            "country_code": "US",
            "telephone_number": "808-354-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98-1005 Moanalua Rd Spc 2000",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014700",
            "country_code": "US",
            "telephone_number": "808-489-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASALLA",
        "first_name": "JOMARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-3304",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashim Das, DMD
• Avash Das, MBBS PHD
• Rishi Das, MD
• Saumya Das, MD
• Souvik Kumar Das
• Yoga Dasari, DO
• Hormuzdiyar Henry Dasenbrock, MD
• Soham Dasgupta, MD
• Asha Mi Dash, MD
• Smaraki Dash, MD, MPH

• Student in an Organized Health Care Education/Training Program in Boston, MA
• Providers in Boston, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.