Active NPI
Clayton James McElroy
- Pediatric Dentistry
- Honolulu, HI
National Provider Identifier
1659954428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DT-3121-0
- Practice address
- 1441 Kapiolani Blvd
Honolulu, HI 96814-4402 - Phone
- (808) 944-1603
- NPI assigned
- Apr 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DT-3121-0 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd
Honolulu, HI 96814-4402
Mailing address
45-616 Pilipaa St
Kaneohe, HI 96744-1882
Phone (618) 402-0991
Other practice location 1
4450 Kapolei Pkwy Ste 570
Kapolei, HI 96707-1898
Phone (808) 774-7827
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-3121-0 | HI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1659954428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-616 PILIPAA ST",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967441882",
"telephone_number": "618-402-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144402",
"telephone_number": "808-944-1603"
}
],
"practiceLocations": [
{
"address_1": "4450 Kapolei Pkwy Ste 570",
"address_purpose": "LOCATION",
"city": "Kapolei",
"state": "HI",
"postal_code": "967071898",
"country_code": "US",
"telephone_number": "808-774-7827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCELROY",
"first_name": "CLAYTON",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "HI",
"license": "DT-3121-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.