Organization Active NPI

John D Dodson, D.D.S. Inc.

  • Dentist
  • Lahaina, HI
National Provider Identifier
1609236116
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2633 Issued in HI
Legal business name
JOHN D DODSON, D.D.S. INC.
Practice address
845 Wainee St Ste 201
Lahaina, HI 96761-1688
Phone
(808) 667-7033
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Matthew DodsonNPI 1053643973
Title
Dentist
Phone
(808) 667-7033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2633 HI Primary

Addresses

Primary practice location

845 Wainee St Ste 201
Lahaina, HI 96761-1688

Mailing address

845 Wainee St Ste 201
Lahaina, HI 96761-1688

National Provider Directory

National Provider Directory
Tax ID family
John D Dodson DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

845 Wainee St
Ste 201
Lahaina, HI 96761
Phone (808) 667-7033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1609236116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 WAINEE ST STE 201",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 WAINEE ST STE 201",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611688",
            "telephone_number": "808-667-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D DODSON, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-667-7033"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.