Individual provider Active NPI

Howard Holbert Carrico III, DDS

  • General Practice Dentistry
  • Kailua, HI
National Provider Identifier
1720144397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1951 Issued in HI
Practice address
124 Oneawa St
Kailua, HI 96734-2505
Phone
(808) 261-6581
Fax
(808) 262-9818
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1951 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

124 Oneawa St
Kailua, HI 96734-2505

Mailing address

124 Oneawa St
Kailua, HI 96734-2505
Phone (808) 261-6581

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720144397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ONEAWA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342505",
            "telephone_number": "808-261-6581",
            "fax_number": "808-262-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ONEAWA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342505",
            "telephone_number": "808-261-6581",
            "fax_number": "808-262-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICO",
        "first_name": "HOWARD",
        "middle_name": "HOLBERT",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.