Active NPI
Dennis Fredrick Tiberi, D.D.S.
- General Practice Dentistry
- Kaneohe, HI
National Provider Identifier
1669615589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT-800
- Practice address
- 46-001 Kamehameha Hwy
#414
Kaneohe, HI 96744-3711 - Phone
- (808) 247-1602
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT-800 | HI | Primary |
Addresses
Primary practice location
46-001 Kamehameha Hwy
#414
Kaneohe, HI 96744-3711
Mailing address
46-001 Kamehameha Hwy
#414
Kaneohe, HI 96744-3711
Phone (808) 247-1602
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 |
|---|---|---|---|
| DT-800 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1669615589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-001 KAMEHAMEHA HWY",
"address_2": "#414",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443711",
"telephone_number": "808-247-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-001 KAMEHAMEHA HWY",
"address_2": "#414",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443711",
"telephone_number": "808-247-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBERI",
"first_name": "DENNIS",
"middle_name": "FREDRICK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.